[Masseter muscle rigidity after suxamethonium during induction and postoperative abortive malignant hyperthermia in a patient with esophageal achalasia].
A 38-year-old man diagnosed as esophageal achalasia developed masseter muscle rigidity after intravenous suxamethonium during anesthetic induction. Anesthesia was maintained with intravenous agents and epidural blockade, while the masseter muscle rigidity continued. After the surgery, his body temperature increased to 38.8 degrees C concomitantly with the appearance of myoglobinuria suggesting the occurrence of abortive malignant hyperthermia. These symptoms were dissolved by dantrolene administration. He was later proved to be negative with CICR test.
Arakawa
Yuriko
Y
Department of Anesthesiology, Kitasato University School of Medicine, Sagamihara 228-8555.
Kuroiwa
Masayuki
M
Anzai
Takeshi
T
Kanai
Akifumi
A
Okamoto
Hirotsugu
H
Hoka
Sumio
S
D000328:Adult; D000767:Anesthesia, Epidural; D000771:Anesthesia, Intravenous; D003620:Dantrolene / Q000627:therapeutic use; D004931:Esophageal Achalasia / Q000601:surgery*; D006801:Humans; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000188:drug therapy; D008297:Male; D008305:Malignant Hyperthermia / Q000188:drug therapy / Q000209:etiology*; D008406:Masseter Muscle; D009127:Muscle Rigidity / Q000139:chemically induced* / Q000188:drug therapy; D009467:Neuromuscular Depolarizing Agents / Q000008:administration & dosage / Q000009:adverse effects*; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology*; D013390:Succinylcholine / Q000008:administration & dosage / Q000009:adverse effects*
D009467:Neuromuscular Depolarizing Agents; D003620:Dantrolene; D013390:Succinylcholine