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Open Access 01-12-2022 | Myasthenia Gravis | Case report
General anesthesia for treating scoliosis with congenital myasthenia syndrome: a case report
Published in: JA Clinical Reports | Issue 1/2022
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Background
Congenital myasthenia syndrome is a heterogeneous disease with impaired neuromuscular transmission.
Case presentation
This report describes a 13-year-old child with congenital myasthenia syndrome who underwent surgery for scoliosis under general anesthesia. We used a small dose of rocuronium, neuromuscular transmission monitoring, and non-invasive positive pressure ventilation for postoperative respiratory management. There were no respiratory complications during the perioperative period.
Conclusion
As there are only a few reports on the anesthetic management of patients with congenital myasthenia syndrome, we applied the principles of managing autoimmune myasthenia gravis. The postoperative management described herein can prevent respiratory complications in patients with congenital myasthenia syndrome.