Case report, case study
Anesthetic Management of a Child with Sturge-Weber Syndrome Undergoing Glaucoma Surgery: A Case Report
Tihana Magdić Turković
; Department of Anesthesiology Intensive Care and Pain Management Sestre milosrdnice University Hospital Center Zagreb, Croatia
Lidija Fumić Dunkić
; Department of Anesthesiology Intensive Care and Pain Management Sestre milosrdnice University Hospital Center Zagreb, Croatia
Ana Miletić
; Department of Anesthesiology Intensive Care and Pain Management Sestre milosrdnice University Hospital Center Zagreb, Croatia
Mirta Ciglar
; Department of Anesthesiology Intensive Care and Pain Management Sestre milosrdnice University Hospital Center Vinogradska cesta 29 10000 Zagreb, Croatia
*
* Corresponding author.
Abstract
Background: Sturge-Weber Syndrome (SWS) is a rare congenital neurocutaneous disorder characterized by leptomeningeal and facial hemangiomas, with consequent neurological and ocular manifestations. The anesthesia of these patients may be challenging and patients with SWS need careful assessment during the perioperative period. Aim: The aim is to report on a case of successful anesthetic management for glaucoma surgery in a 3-year-old patient with Sturge-Weber Syndrome. Methods: All the medical procedures on our patient were performed in the Sestre milosrdnice University Hospital Center. The patient fi rst underwent anesthesia to have her eyes examined and then to have glaucoma surgery. General anesthesia was introduced during both procedures. Results: During both procedures, inhalational anesthesia with 8 Vol% sevofl urane was performed with the intraoperative addition of fentanyl for analgesia. Induction, as well as anesthetic emergence, went smoothly, without blood pressure oscillations. Maintaining blood pressure within normal limits was important, considering the risk of hemangioma rupture. Ibuprofen and paracetamol ensured adequate postoperative analgesia and no rises in blood pressure. Conclusion: Since clinicians rarely encounter patients with SWS, it is important for all physicians involved in the treatment of such patients to become familiar with the challenges during the perioperative period. Therefore, we should like to emphasize specifi c anesthetic considerations for patients with SWS.
Keywords
Sturge-Weber Syndrome; anesthesia; glaucoma surgery
Hrčak ID:
334377
URI
Publication date:
2.6.2024.
Visits: 89 *