Discrepancy between electroencephalography and hemodynamics in a patient with Cockayne syndrome during general anesthesia.

Abstract

Cockayne syndrome is a kind of progeria with autosomal chromosome recessiveness described first by Cockayne in 1936. Patients with this syndrome were characterized by retarded growth, cerebral atrophy, and mental retardation. We experienced an anesthetic management of a patient with Cockayne syndrome, who underwent dental treatment twice. The primary concern was discrepancy between electroencephalography and hemodynamics. The values of bispectral index showed a sharp fall to 1 digit and suppression ratio more than 40, while hemodynamics was stable during induction of anesthesia with sevoflurane 8%. We should pay attention to anesthetic depth in the central nervous system in patients with Cockayne syndrome. Titration of anesthetics should be performed by the information from electroencephalography.

• Authors: Masanori Tsukamoto, Takashi Hitosugi, Takeshi Yokoyama
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 35 Pg. 424-426 (Dec 2016) ISSN: 1873-4529 [Electronic] United States
• PMID: 27871568 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2016 Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Anesthesia, General
• Cockayne Syndrome (surgery)
• Electroencephalography (drug effects)
• Female
• Hemodynamics (drug effects)
• Humans