Top

Published in:

01-12-2010 | Clinical Report

Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome

Authors: Ludmyla Kachko, Elena Sanko, Enrique Freud, Jacob Katz

Published in: Journal of Anesthesia | Issue 6/2010

Abstract

Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.

Baum VC. Anesthesia for genetic, metabolic, and dysmorphic syndromes of childhood. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 85–6.

Beck B, Fenger K. Mortality, pathological findings and causes of death in the De-Lange syndrome. Acta Paediatr Scand. 1985;74:765–9.PubMedCrossRef

Dorsett D, Krantz ID. On the molecular etiology of Cornelia de Lange syndrome. Ann N Y Acad Sci. 2009;1151:22–37.PubMedCrossRef

Sargent WW. Anesthetic management of a patient with Cornelia de Lange syndrome. Anesthesiology. 1991;74:1162–3.PubMedCrossRef

Moschini V, Ambrosini MT, Sofi G. Anesthesiologic considerations in Cornelia de Lange syndrome. Minerva Anestesiol. 2000;66:799–806.PubMed

Yo T, Noguchi I, Kimura T, Sasao M, Amemiya Y, Sekiya H, Kobayashi K. General anesthesia in a patient with Cornelia de Lange syndrome with restricted opening of the mouth. Masui. 1998;47:611–4. (in Japanese with English abstract).PubMed

Fernández-García R, Pérez Mencía T, Gutiérrez-Jodra A, López García A. Anesthetic management with laryngeal mask in a child with Brachmann-de Lange syndrome. Paediatr Anaesth. 2006;16:698–700.PubMedCrossRef

Tsukazaki Y, Tachibana C, Satoh K, Fukada T, Ohe Y. A patient with Cornelia de Lange syndrome with difficulty in orotracheal intubation. Masui. 1996;45:991–3. (in Japanese with English abstract).PubMed

Yokoyama T, Tomoda M, Nishiyama T, Matsuda T, Fujimoto S, Hanaoka K, Manabe M. General anesthesia for a patient with Cornelia de Lange syndrome. Masui. 2000;49:785–7. (in Japanese with English abstract).PubMed

10.

Hirai T, Nitahara K, Higa K, Iwakiri S, Shono S, Katori K. Anesthetic management of an infant with Cornelia de Lange syndrome. Masui. 2006;55:454–6. (in Japanese with English abstract).PubMed

11.

Guzman J. Use of a short flexible fiberoptic endoscope for difficult intubations. Anesthesiology. 1997;87:1563–4.PubMedCrossRef

12.

August DA, Sorhabi S. Is a difficult airway predictable in Cornelia de Lange syndrome? Paediatr Anaesth. 2009;19:707–9.PubMedCrossRef

13.

Veall GR. An unusual complication of Cornelia de Lange syndrome. Anaesthesia. 1994;49:409–10.PubMedCrossRef

14.

Papadimos TJ, Marco AP. Lange syndrome, hyperthermia and a difficult airway. Anaesthesia. 2003;58:924–5.PubMedCrossRef

15.

Ozturk E, Bozkirli F, Ozkose Z. Anaesthetic management of a patient with Cornelia de Lange syndrome. Gazi Med J. 2000;11:175–7.

16.

Lumb AB, Carli F. Respiratory arrest after a caudal injection of bupivacaine. Anaesthesia. 1989;44:324–5.PubMedCrossRef

17.

Fortuna A. Respiratory arrest after a caudal injection of bupivacaine. Anaesthesia. 1989;44:1007.PubMedCrossRef

18.

Lee E, Collins G. Respiratory arrest after caudal bupivacaine. Anaesthesia. 1990;45:63–4.PubMedCrossRef

19.

del Rio ER, Cordero Luna D, Vásquez Montes MT, Chávez Ramírez MA, Rodríguez Pérez MV, Cruz-Villaseñor JA, Rodríguez Aranda E, Olvera Durán JA. Caudal block and sedation for bilateral herniorrhaphy in an infant with Cornelia de Lange syndrome. Rev Esp Anestesiol Reanim. 2004;51:403–4.PubMed

20.

Williams RK, Adams DC, Aladjem EV, Kreutz JM, Sartorelli KH, Vane DW, Abajian JC. The safety and efficacy of spinal anesthesia for surgery in infants: the Vermont Infant Spinal Registry. Anesth Analg. 2006;102:67–71.PubMedCrossRef

21.

Kachko L, Simhi E, Tzeitlin E, Efrat R, Tarabikin E, Peled E, Metzner I, Katz J. Spinal anesthesia in neonates and infants. A single-center experience of 505 cases. Paediatr Anaesth. 2007;17:647–53.PubMedCrossRef

22.

Katznelson R, Mishaly D, Hegesh T, Perel A, Keidan I. Spinal anesthesia for diagnostic cardiac catheterization in high-risk infants. Paediatr Anaesth. 2005;15:50–3.PubMedCrossRef

23.

Peterson KL, DeCampli WM, Pike NA, Robbins RC, Reitz BA. A report of two hundred twenty cases of regional anesthesia in pediatric cardiac surgery. Anesth Analg. 2000;90:1014–9.PubMedCrossRef

24.

Chaney MA. Intrathecal and epidural anesthesia and analgesia for cardiac surgery. Anesth Anal. 2006;102:45–64.CrossRef

25.

Roposch A, Bhaskar AR, Lee F, Adedapo S, Mousny M, Alman BA. Orthopaedic manifestations of Brachmann-de Lange syndrome: a report of 34 patients. J Pediatr Orthop B. 2004;13:118–22.PubMedCrossRef

26.

Mutlu M, Dilber B, Aslan Y. Cornelia de Lange syndrome associated with thoracic meningocele. Clin Dysmorphol. 2010;19:161–3.PubMedCrossRef

27.

Viscomi CM, Abajian JC, Wald SL, Rathmell JP, Wilson JT. Spinal anesthesia for repair of meningomyelocele in neonates. Anesth Analg. 1995;81:492–5.PubMedCrossRef

Title: Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome
Authors: Ludmyla Kachko
Elena Sanko
Enrique Freud
Jacob Katz
Publication date: 01-12-2010
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 6/2010
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-010-1026-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2010

Anesthesia for a 16-month-old patient with Prader–Willi syndrome

Severe methemoglobinemia after dental anesthesia: a warning about propitocaine-induced methemoglobinemia in neonates

BIS pediatric sensor can cause blisters in small children

Suppressive effects of sivelestat on interleukin 8 and TNF-α production from LPS-stimulated granulocytes in whole blood culture

Complications with massive sacrococcygeal tumor resection on a premature neonate

Local warming at injection site helps alleviate pain after rocuronium administration