Journals / Türk Anestezi ve Reanimasyon Dergisi / 2013 / Cilt: 41 - Sayı: 4

The anaesthetic management of temporal tumour resection in a patient with type 1 glutaric aciduria

Tip-1 glutarik asidürisi olan temporal tümör rezeksiyonu uygulanan bir hastada anestezi deneyimimiz

Pages
139–141
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We report the anaesthetic management of temporatumour resection that lasted for 8 hours in a 16-year-old patient with GA- 1, and discuss the risks of malignant hyperthermia and propofol infusion syndrome.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Glutaric aciduria type 1 (GA-1) is an uncommon cerebral organic aci- duria.
📊
Key Findings & Data:Few cases with GA-1 who underwent general anaesthesia have been reported pre- viously, and there are no data on long-term anaesthetic management of patients with GA-1.
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Conclusion & Impact:We report the anaesthetic management of temporatumour resection that lasted for 8 hours in a 16-year-old patient with GA- 1, and discuss the risks of malignant hyperthermia and propofol infusion syndrome.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Glutaric aciduria type 1 (GA-1) is an uncommon cerebral organic aci- duria. The risk of acute encephalopathic crises and metabolic acidosis may present during anaesthetic and surgical or postsurgical periods. Few cases with GA-1 who underwent general anaesthesia have been reported pre- viously, and there are no data on long-term anaesthetic management of patients with GA-1. We report the anaesthetic management of temporatumour resection that lasted for 8 hours in a 16-year-old patient with GA- 1, and discuss the risks of malignant hyperthermia and propofol infusion syndrome.

Özet

Tip-1 glutarik asidüri nadir görülen bir organik serebral asidüridir. Anes- tezi ve cerrahi sırasında ya da cerrahi sonrası dönemde akut ensefalopatik kriz ve metabolik asidoz gelişebilir. Literatürde genel anestezi uygulanan tip-1 glutarik asidüri olguları çok az sayıda olup, uzun süreli anestezi uy- gulanan tip-1 glutarik asidüri olgusuna rastlamadık. Bu yazıda sekiz saat süreyle temporal tümor rezeksiyonu uygulanan 16 yaşında tip-1 glutarik asidürili bir hastada anestezi yönetimimizi ve malign hipertermi ve propo- fol infüzyon sendromu gelişme risklerini tartıştık.

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Cite This Article

UTKU, T., TUNALI, Y., TÜTÜNCÜ, A. Ç., ALTINDAŞ, F., EREN, F. A., KORKMAZ, Ö. D., YENTÜR, E., ERBABACAN, E. (2022). The anaesthetic management of temporal tumour resection in a patient with type 1 glutaric aciduria. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 41 - Sayı: 4, 139–141. https://ajindex.com/articles/619727

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References (11)

  1. Goodman SI, Markey SP, Moe PG, Miles BS, Teng CC. Glutaric aciduria; a “new” disorder of amino acid metabolism. Biochem Med 1975; 12: 12-21.
  2. Hoffmann GF, Trefz FK, Rating D, Bremer HJ. [Selective screening for amino and organic acid inborn errors]. Wien Klin Wochenschr 1992; 104: 651-7.
  3. Perens GS, Shannon KM, Levi DS, Drant S. Successful treatment of eosinophilic pleural effusions following congenital heart surgery. Pedi- atr Cardiol 2006; 27: 168-9. Hernández-Palazón J, Sánchez-Ródenas L, Martínez-Lage JF, Collado IC. Anesthetic management in two siblings with glutaric aciduria type 1. Paediatr Anaesth 2006; 16: 188-91.
  4. Farag E, Argalious M, Narouze S, DeBoer GE, Tome J. The anest- hetic management of ventricular septal defect (VSD) repair in a child with mitochondrial cytopathy. Can J Anaesth 2002; 49: 958-62.
  5. Goktas U, Kati I, Aytekin OC. Management of outpatient anesthesia in an unusually case with glutaric aciduria type-1. Paediatr Anaesth 2009; 19: 632-3.
  6. Lütcherath V, Waaler PE, Jellum E, Wester K. Children with bilateral temporal arachnoid cysts may have glutaric aciduria type 1 (GAT1); operation without knowing that may be harmful. Acta Neurochir (Wien) 2000; 142: 1025-30.
  7. Shipton EA, Prosser DO. Mitochondrial myopathies and Anaesthesio- logy. Eur J Anaesthesiol 2004; 21: 173-8.
  8. Morgan, PG, Hoppel CL, Sedensky MM. Mitochondrial defects and anesthetic sensitivity. Anaesthesiology 2002; 96: 1268-70. Kinder Ross A. Muscular dystrophy versus mitochondrial myopathy: the dilemma of the undiagnosed hypotonic child. Pediatric Anesthesia 2007; 17: 1-6.
  9. Motsch J, Roggenbach J. [Propofol infusion syndrome]. Anaesthesist 2004; 53: 1009-22.
  10. Haase R, Sauer H, Eichler G. Lactic acidosis following short-term pro- pofol infusion may be an early warning of propofol infusion syndrome. J Neurosurg Anesthesiol 2005; 17: 122-3.
  11. Weinberg GL, Baughman V. Carnitine deficiency, mitochondrial me- tabolism, and abnormal response to anesthetics. Anaesthesiology 2006; 104: 1343. Ohtani Y, Milke T, Ishitsu T, Matsuda I, Tamari H. A case of malignant hyperthermia with mitochondrial dysfunction. Brain Dev 1985; 7: 249. Wallace JJ, Perndt H, Skinner M. Anaesthesiology and mitochondrial disease. Paediatr Anaesth 1998; 8: 249-54.