title: Anesthesia for craniotomy in a patient with previous paralytic polio.
abstract: Poliomyelitis remains endemic in many developing nations. Patients may develop residual muscle weakness in one or more limbs after an attack of poliomyelitis in childhood. We report an adult patient who presented for right temporal cortical grid placement. He had childhood poliomyelitis and, while showing no evidence of postpolio syndrome, demonstrated excessive sensitivity to nondepolarizing muscle relaxants and developed prolonged muscle weakness during the postoperative period.
authors.affiliation: Department of Anesthesiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram, Kerala, India PIN 695011.
authors.forename: Puthuvassery Raman
authors.initials: PR
authors.lastname: Suneel
authors.forename: Prabhat Kumar
authors.initials: PK
authors.lastname: Sinha
authors.forename: Koniparambil Pappu
authors.initials: KP
authors.lastname: Unnikrishnan
authors.forename: Mathew
authors.initials: M
authors.lastname: Abraham
mesh_terms: D000758:Anesthesia; D003399:Craniotomy; D003422:Critical Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000139:chemically induced*; D003473:Neuromuscular Nondepolarizing Agents / Q000009:adverse effects*; D010197:Pancuronium / Q000009:adverse effects*; D011051:Poliomyelitis / Q000150:complications*; D011183:Postoperative Complications / Q000139:chemically induced*; D011229:Preanesthetic Medication
chemical_list: D003473:Neuromuscular Nondepolarizing Agents; D010197:Pancuronium