Kleine-Levin syndrome: report of a case with marked dysautonomic features
Journal of Clinical Sleep Medicine, Ahead of Print. (Source: Journal of Clinical Sleep Medicine : JCSM)
Source: Journal of Clinical Sleep Medicine : JCSM - April 11, 2022 Category: Sleep Medicine Authors: Giuseppe Fiamingo
Roberta Esposto
Beatrice Dal Fabbro
Michele Terzaghi
1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
2IRCCS Mondino Foundation, Pavia, Italy
3Department of Neurology, G. Salvini Hospital, Garbagnate Milane Source Type: research
General Anesthetic Management of a Patient With Kleine-Levin Syndrome
We describe the case of a 22-year-old female previously diagnosed with KLS who was scheduled to have her third molars extracted under general anesthesia. Because the patient had symptoms of periodic hypersomnia and hyperphagia, the surgery was scheduled during a KLS crisis interval. General anesthesia was induced with propofol, remifentanil, and rocuronium, and maintained with desflurane and remifentanil. To prevent overuse of anesthetic agents, an electroencephalogram (EEG)-based depth of anesthesia monitor (SedLine; Masimo Corporation) was used intraoperatively. A neuromuscular monitor was also used to carefully titrate ...
Source: Anesthesia Progress - April 4, 2022 Category: Anesthesiology Authors: Masatoshi Fujita Kentaro Mizuta Source Type: research
