title: Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome.
abstract: BACKGROUND
  Pseudo-TORCH syndrome is a rare, chronic disorder that is characterised by dimorphic features such as microcephaly, intracranial calcification, seizures, mental retardation, hepatosplenomegaly and coagulation disorders.
  
  
  METHODS
  We present the anaesthetic management of a forty day-old boy with Pseudo-TORCH syndrome during magnetic resonance imaging. Microcephaly, growth failure, high palate and bilateral rales in the lungs were detected in pre-anaesthetic physical examination. The peripheral oxygen saturation was 88-89% in room-air and was 95% in a hood with 5 L/min oxygen. We planned general anaesthesia to ensure immobility during magnetic resonance imaging. After standard monitoring, general anaesthesia was induced with 8% sevoflurane in 100% O2. After an adequate depth of anaesthesia was reached, we inserted a supraglottic airway device to avoid intubation without the use of a muscle relaxant.
  
  
  CONCLUSIONS
  In patients with Pseudo-TORCH syndrome, the perioperative anaesthetic risk was increased. We believe that using a supraglottic airway device to secure the airway is less invasive than intubation, and can be performed without the need of muscle relaxants.
authors.affiliation: Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Berk
authors.affiliation: Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Alparslan
authors.initials: A
authors.lastname: Kuş
authors.affiliation: Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Tülay
authors.initials: T
authors.lastname: Sahin
authors.affiliation: Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Mine
authors.initials: M
authors.lastname: Solak
authors.affiliation: Department of Anesthesiology and Reanimation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Kamil
authors.initials: K
authors.lastname: Toker
keywords: Pseudo-TORCH syndrome; anaesthesia; supraglottic airway device