Anesthesia for craniotomy in a patient with previous paralytic polio.
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.
Suneel
Puthuvassery Raman
PR
Department of Anesthesiology, Sree Chitra Tirunal Institute of Medical Sciences and Technology, Thiruvananthapuram, Kerala, India PIN 695011.
Sinha
Prabhat Kumar
PK
Unnikrishnan
Koniparambil Pappu
KP
Abraham
Mathew
M
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
D003473:Neuromuscular Nondepolarizing Agents; D010197:Pancuronium