Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome.

Abstract

BACKGROUND:

Pseudo-TORCH syndrome is a rare, chronic disorder that is characterised by dimorphic features such as microcephaly, intracranial calcification, seizures, mental retardation, hepatosplenomegaly and coagulation disorders.

CASE REPORT:

We present the anaesthetic management of a forty day-old boy with Pseudo-TORCH syndrome during magnetic resonance imaging. Microcephaly, growth failure, high palate and bilateral rales in the lungs were detected in pre-anaesthetic physical examination. The peripheral oxygen saturation was 88-89% in room-air and was 95% in a hood with 5 L/min oxygen. We planned general anaesthesia to ensure immobility during magnetic resonance imaging. After standard monitoring, general anaesthesia was induced with 8% sevoflurane in 100% O2. After an adequate depth of anaesthesia was reached, we inserted a supraglottic airway device to avoid intubation without the use of a muscle relaxant.

CONCLUSION:

In patients with Pseudo-TORCH syndrome, the perioperative anaesthetic risk was increased. We believe that using a supraglottic airway device to secure the airway is less invasive than intubation, and can be performed without the need of muscle relaxants.

• Authors: Derya Berk, Alparslan Kuş, Tülay Sahin, Mine Solak, Kamil Toker
• Journal: Balkan medical journal (Balkan Med J) Vol. 30 Issue 3 Pg. 321-2 (Sep 2013) ISSN: 2146-3123 [Print] Turkey
• PMID: 25207129 (Publication Type: Journal Article)