Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1377
5
1
gregorian
1998
8
1
12
2
online
1
fulltext
en
SUPRAVENTRICULAR TACHYCARDIA FOLLOWING SECOND INDUCTION OF ANESTHESIA IN A PATIENT DIAGNOSED AS MALIGNANT HYPERTHERMIA AFTER FIRST ANESTHETIC EXPOSURE: TERMINOLOGY REQUIRES A SECOND LOOK
Anesthesia
Anesthesia
case report
case report
A 17 year old male who underwent surgery for thoracic outlet syndrome
developed a postoperative complication which was labelled and diagnosed as
malignant hyperthermia in Kerman Medical Center. The temperature recorded
was 43°C, PaC02 70 mmHg and serum potassium level was 7 mEq/L. The patient
was hospitalized in the intensive care unit for 10 days. On discharge, the patient
had aphasia and incoordination in gait. Gradually the symptoms improved.
However dysarthria, a reduction in muscle force and a staggering gait persisted.
The same patient underwent a second operation for a spinal cord tumor located in
the cervical region at this center. Following induction of anesthesia, the pulse rate
showed a stepladder rise reaching a peak: of 198 per minute. Except for a rapid heart
rate, the patient had an uneventful operative course and a speedy recovery
following the operation without any sequelae. The case is being reviewed and the
plethora of diverse symptomatology and clinical picture explored to highlight the
controversy of malignant hyperthermia in this particular case.
Malignant hyperthermia, Anesthesia, Supraventricular tachycardia.
159
162
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-474&slc_lang=en&sid=1
ZAHID
HUSSAIN KHAN
20031947532846004861
20031947532846004861
Yes
From the Department of Anesthesiology, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran