---

Devic’s disease: A devil’s trap for the Anesthesiologist: A case report

Full Text PDF Share on Facebook Share on Twitter

---

Case Report

Author Details : Roshin Binoy*, Bincy V Thomas, Sheela Verghese

Volume : 11, Issue : 2, Year : 2024

Article Page : 258-260

https://doi.org/10.18231/j.ijca.2024.049

Suggest article by email

Get Permission

Abstract

Neuromyelitis optica spectrum of disorder (NMOSD) is a rare autoimmune inflammatory relapsing astrocytopathy due to immunoglobulin against aquaporin 4 (AQP4) receptor. It is characterized by demyelination of the spinal cord and optic nerve. The vulnerability of demyelinated neurons to local anesthetics and increased response to neuromuscular blocking agents make the choice of anesthesia challenging. The rarity of the disease has made the literature scarce, especially when it comes to those undergoing surgeries and their anesthetic implications. We report the case of a 54-year-old patient with NMOSD who underwent modified radical mastectomy for carcinoma breast under general anesthesia. The use of multimodal analgesia for pain management and the avoidance of muscle relaxants resulted in an uneventful perioperative period in this patient.
 

Keywords: Neuromyelitis optica spectrum disorder, Chronic pain, Muscle relaxants, General anesthesia.

How to cite : Binoy R, Thomas B V, Verghese S, Devic’s disease: A devil’s trap for the Anesthesiologist: A case report. Indian J Clin Anaesth 2024;11(2):258-260

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.