Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Article History

Received : 14-03-2024

Accepted : 26-04-2024



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


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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



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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


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