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Case Reports
Anesthetic Management of Robotic Thymectomy in a Patient With Morvan Syndrome: A Case Report.
- Sara E Royston and Philip M Hartigan.
- From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
- A A Pract. 2021 Jan 14; 15 (1): e01383.
AbstractMorvan syndrome (MvS) is a rare acquired paraneoplastic autoimmune neuromyotonia with central and autonomic nervous system involvement that has been incompletely described in the literature. We describe the successful administration of general anesthesia for robotic thymectomy to an MvS patient with severe encephalopathy, cardiac dysautonomia, and peripheral nerve hyperexcitation. Importantly, thymus removal provided effective source control with eventual resolution of MvS symptoms. MvS is briefly reviewed and novel observations are described of related interactions between nondepolarizing neuromuscular blockade (NDNMB) and bispectral index (BIS).Copyright © 2021 International Anesthesia Research Society.
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