Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report

Mutations in SCN8A gene lead to changes in sodium channels in the brain, which are correlated with severe epileptic syndrome. Due to the rarity, there are few studies that support anesthesia in that population. The present study aims to report alternatives to inhalation anesthesia at epileptic encep...

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Autores principales: Machado, Eric Guimar.·es, Bill.., Isis da Rocha Costa, Ara..jo, Mariana Moraes Pereira das Neves, Neves, Jos.. Francisco Nunes Pereira das, Mau..s, Gilson Lorena, Marcos, Marco Felipe Bouzada, Ara..jo, Fernando de Paiva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659985/
https://www.ncbi.nlm.nih.gov/pubmed/36357057
http://dx.doi.org/10.1016/j.bjane.2020.08.013
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author Machado, Eric Guimar.·es
Bill.., Isis da Rocha Costa
Ara..jo, Mariana Moraes Pereira das Neves
Neves, Jos.. Francisco Nunes Pereira das
Mau..s, Gilson Lorena
Marcos, Marco Felipe Bouzada
Ara..jo, Fernando de Paiva
author_facet Machado, Eric Guimar.·es
Bill.., Isis da Rocha Costa
Ara..jo, Mariana Moraes Pereira das Neves
Neves, Jos.. Francisco Nunes Pereira das
Mau..s, Gilson Lorena
Marcos, Marco Felipe Bouzada
Ara..jo, Fernando de Paiva
author_sort Machado, Eric Guimar.·es
collection PubMed
description Mutations in SCN8A gene lead to changes in sodium channels in the brain, which are correlated with severe epileptic syndrome. Due to the rarity, there are few studies that support anesthesia in that population. The present study aims to report alternatives to inhalation anesthesia at epileptic encephalopathy. CASE REPORT: Male, 4 years old, with SCN8A encephalopathy with surgical indication of orchidopexy. Neuroaxis block was performed and dexmedetomidine was used as a pre-anesthetic and sedation. The anestheticsurgical act was uneventful. CONCLUSION: The association of neuraxial block and dexmedetomidine proved to be a viable alternative for surgery in patients with SCN8A encephalopathy.
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spelling pubmed-96599852022-11-15 Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report Machado, Eric Guimar.·es Bill.., Isis da Rocha Costa Ara..jo, Mariana Moraes Pereira das Neves Neves, Jos.. Francisco Nunes Pereira das Mau..s, Gilson Lorena Marcos, Marco Felipe Bouzada Ara..jo, Fernando de Paiva Braz J Anesthesiol Case Report Mutations in SCN8A gene lead to changes in sodium channels in the brain, which are correlated with severe epileptic syndrome. Due to the rarity, there are few studies that support anesthesia in that population. The present study aims to report alternatives to inhalation anesthesia at epileptic encephalopathy. CASE REPORT: Male, 4 years old, with SCN8A encephalopathy with surgical indication of orchidopexy. Neuroaxis block was performed and dexmedetomidine was used as a pre-anesthetic and sedation. The anestheticsurgical act was uneventful. CONCLUSION: The association of neuraxial block and dexmedetomidine proved to be a viable alternative for surgery in patients with SCN8A encephalopathy. Elsevier 2021-02-04 /pmc/articles/PMC9659985/ /pubmed/36357057 http://dx.doi.org/10.1016/j.bjane.2020.08.013 Text en © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Machado, Eric Guimar.·es
Bill.., Isis da Rocha Costa
Ara..jo, Mariana Moraes Pereira das Neves
Neves, Jos.. Francisco Nunes Pereira das
Mau..s, Gilson Lorena
Marcos, Marco Felipe Bouzada
Ara..jo, Fernando de Paiva
Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title_full Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title_fullStr Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title_full_unstemmed Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title_short Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report
title_sort neuraxial block anesthetic technique in a patient with scn8a encephalopathy: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659985/
https://www.ncbi.nlm.nih.gov/pubmed/36357057
http://dx.doi.org/10.1016/j.bjane.2020.08.013
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