General anesthesia for patient with homocystinuria--a case report.

Abstract

Homocystinuria is an autosomal recessive disease with multiple systemic disorders. Here we report a 15-year-old lad suffering from homocystinuria who required an ocular surgery including lentectomy and implant of plastic lens, OS and anterior retinal cryotherapy, OD under general anesthesia because of lens subluxation and lattice degeneration. It is the elective ocular procedure most commonly performed for homocystinuric children. Proper precautions should be taken during anesthetic management since this condition inspires some particular anesthetic complications that could be prevented by careful consideration and understanding of its pathophysiology. Providentially our patient stood the operation well and was discharged without subsequent thromboembolism or other complication as an aftermath.

• Authors: Yun-Hui Teng, Chun-Sung Sung, Wen-Wei Liao, Sheng-Chin Kao, Yu-Yin Huang, Mei-Yung Tsou, Shen-Kou Tsai
• Journal: Acta anaesthesiologica Sinica (Acta Anaesthesiol Sin) Vol. 40 Issue 3 Pg. 153-6 (Sep 2002) ISSN: 0254-1319 [Print] China (Republic : 1949- )
• PMID: 12434614 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Anesthesia, General (adverse effects, methods)
• Homocystinuria (complications)
• Humans
• Male
• Postoperative Complications (prevention & control)
• Thromboembolism (prevention & control)