Neuraxial block anesthetic technique in a patient with SCN8A encephalopathy: case report

Mutations in SCN8A gene lead to changes in sodium channels in the brain, which are correlated with severe epileptic syndrome. Due to the rarity, there are few studies that support anesthesia in that population. The present study aims to report alternatives to inhalation anesthesia at epileptic encep...

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Published in:Brazilian journal of anesthesiology (Elsevier) Vol. 72; no. 6; pp. 826 - 828
Main Authors: Machado, Eric Guimar.·es, Bill, Isis da Rocha Costa, Ara..jo, Mariana Moraes Pereira das Neves, Neves, Jos.. Francisco Nunes Pereira das, Mau..s, Gilson Lorena, Marcos, Marco Felipe Bouzada, Ara..jo, Fernando de Paiva
Format: Journal Article
Language:English
Published: Elsevier España, S.L.U 01-11-2022
Elsevier
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Summary:Mutations in SCN8A gene lead to changes in sodium channels in the brain, which are correlated with severe epileptic syndrome. Due to the rarity, there are few studies that support anesthesia in that population. The present study aims to report alternatives to inhalation anesthesia at epileptic encephalopathy. Male, 4 years old, with SCN8A encephalopathy with surgical indication of orchidopexy. Neuroaxis block was performed and dexmedetomidine was used as a pre-anesthetic and sedation. The anestheticsurgical act was uneventful. The association of neuraxial block and dexmedetomidine proved to be a viable alternative for surgery in patients with SCN8A encephalopathy.
ISSN:0104-0014
0104-0014
DOI:10.1016/j.bjane.2020.08.013