title: Infraclavicular brachial plexus block in Wilson's disease.
abstract: Wilson's disease (WD) is characterized by progressive copper accumulation with hepatic and neurological impairment. Anesthesia and surgical practices may exacerbate WD and liver damage, and even cause life-threatening liver failure. Due to this existing liver damage, anesthetic management is important in WD cases in terms of drug choice, dose, and technique used. This study reports an emergency surgical procedure for trauma in a 24-year-old WD patient suffering the disease for 18 years. The operation was planned under infraclavicular brachial plexus block because of a right supracondiller/proximal humerus fracture. The selected type of anesthetic technique and agents in WD is specific. The pharmacokinetic changes in these cases are difficult to predict and require attention to drug choice and dose.
authors.affiliation: Dicle University, Medical Faculty, Department of Anesthesiology and Reanimation, Diyarbakir, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Tokgöz
authors.forename: Mehmet Beşir
authors.initials: MB
authors.lastname: Yildirim
authors.forename: Adnan
authors.initials: A
authors.lastname: Tüfek
authors.forename: Feyzi
authors.initials: F
authors.lastname: Celik
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Gümüş
authors.forename: Gönül Olmez
authors.initials: GO
authors.lastname: Kavak
mesh_terms: D000328:Adult; D001917:Brachial Plexus; D006527:Hepatolenticular Degeneration / Q000150:complications*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*