• A&A practice · Sep 2023

    Case Reports

    Perioperative Autonomic Dysfunction in a Patient With Charcot-Marie-Tooth Disease: A Case Report.

    • Wissam Maroun, Carol Abi Shadid, Mohamed Fayed, Carine Foz, Jean Beresian, and Ahmad Oseili.
    • From the Department of Anesthesiology and Pain Medicine at the American University of Beirut, Beirut, Lebanon.
    • A A Pract. 2023 Sep 1; 17 (9): e01722e01722.

    AbstractAutonomic dysfunction can lead to unexpected hemodynamic instability during surgery, and best practices for the perioperative care of patients with this condition are not well-defined. We report the case of a 63-year-old woman with Charcot-Marie-Tooth disease who experienced perioperative autonomic dysfunction characterized by severe fluctuations in blood pressure while under spinal anesthesia. However, <1 month later, a second hip surgery performed under general anesthesia with special precautions resulted in an uncomplicated perioperative course, with only mild fluctuations in blood pressure.Copyright © 2023 International Anesthesia Research Society.

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