Skin and Bone Disorders

Tetzlaff, John E.

doi:10.1016/b978-141602212-1.50013-5

Cited by 3 publications

(2 citation statements)

References 354 publications

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“…Behçet hastalarının %4-49'unda merkezi sinir sistemi tutulur. Nörobehçet denen spinal kordda lezyon, kauda equina sendromu, aseptik menenjit, nöbet, demans, koma ve intrakranial trombozis meydana gelebilir 3…”

Section: Sayın Editörunclassified

Behçet hastasında rejyonel anestezi uygulaması

Yalçın¹

2018

Cukurova Medical Journal

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Section: Sayın Editörunclassified

Behçet hastasında rejyonel anestezi uygulaması

Yalçın¹

2018

Cukurova Medical Journal

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“…Achondroplasia is the most common form of dwarfism (short stature) which results from abnormal cartilage formation at epiphyseal growth plates. [ 1 ] It is also known as short-limbed dwarfism.…”

Section: Introductionmentioning

confidence: 99%

Spinal anesthesia using Taylor′s approach helps avoid general anesthesia in short stature asthmatic patient

Patil¹,

Bapat²,

Patil³

et al. 2015

Saudi J Anaesth

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The case history of a 35-year-old female patient with short stature is presented. She was posted for rectopexy in view of rectal prolapse. She was a known case of bronchial asthma. She had crowding of intervertebral spaces, which made administration of spinal anesthesia via the normal route very difficult. Taylor's approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anesthesia in the presence of bronchial asthma, for a perineal surgery. The possible cause for the difficulty in administration of spinal anesthesia and the Taylor's approach are discussed, and reports of similar cases reviewed.

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Osteopetrosis – A Challenge in Rare Situation.

Bengali¹,

Jewalikar²,

Joshi³

et al. 2012

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BACKGROUND: Osteopetrosis is a collective term used for a pathological condition with defective function of osteoclasts presented with range of sclerosing bone diseases along with skeletal, renal, haematological & neurological manifestation. It may be autosomal recessive (ARO), autosomal dominant (ADO) and X-linked. It presents with hydrocephalus, short stature and anaemia, involvement of ocular nerve or facial nerve. Hypocalcemia, tetany, seizures & secondary hypoparathyroidism is known to occur. CASE REPORT: Two patients of osteopetrosis were posted for orthopaedic surgery. Both patients were operated under combined spinal epidural anaesthesia. 2ml of 0.5%Bupivacaine+30mcg clonidine was given intrathecally & epidural supplementation was given with Bupivacaine 3 cc increments after two segment regression of sensory level. Postoperative analgesia was provided by epidural Bupivacaine 0.125% along with Inj. Tramadol 50 mg on patient's request. CONCLUSION: Even if administration of anesthesia is a challenge in patients of Osteopetrosis, regional anaesthesia can be given safely with proper preoperative preparation & intraoperative care. KEY WORDS: osteopetrosis, femur fracture, combined spinal & epidural anaesthesia INTRODUCTION: Osteopetrosis is a collective term used for a pathological condition with defective function of osteoclasts presented with range of sclerosing bone diseases along with skeletal, renal, haematological & neurological manifestation. It is classified as Infantile malignant or (ARO), Intermediate type or (ARO) , Adult onset or (ADO)&X-linked Osteopetrosis. ARO is a life threatening condition manifests in first few months with life span of 6 to 10 yrs present with seizures with normal Calcium levels, renal tubular acidosis, cerebral calcification, developmental delay, hypotonia, retinal atrophy & sensorineural deafness. ADO is type I and type II. Type I is associated with reduced number & size of osteoclasts & involvement of ocular nerve while type II is associated with proliferation of large & multinucleated osteoclasts, involvement of facial nerve , bony sclerosis, renal tubular acidosis & cerebral calcification. In X-linked Osteopetrosis severe immunodeficiency is observed with ectodermal changes. The difficulties faced by Anaesthetists are difficult intubation due to facial deformities, head & mandibular involvement cervicomedullery stenosis may lead to cord trauma during intubation difficult spinal & epidural anaesthesia due to scoliosis and short stature. Leucoerythroblastic anaemia, pancytopenia, thrombocytopenia leading to excessive bleeding

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Skin and Bone Disorders

Cited by 3 publications

References 354 publications

Behçet hastasında rejyonel anestezi uygulaması

Behçet hastasında rejyonel anestezi uygulaması

Spinal anesthesia using Taylor′s approach helps avoid general anesthesia in short stature asthmatic patient

Osteopetrosis – A Challenge in Rare Situation.

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