• Der Anaesthesist · Mar 1988

    Case Reports

    [A case of central anticholinergic syndrome in pediatric anesthesia].

    • H D Hagemann, D Prass, and J Hausdörfer.
    • Abteilung Anaesthesie III, Medizinische Hochschule Hannover.
    • Anaesthesist. 1988 Mar 1;37(3):193-5.

    AbstractThe central cholinergic syndrome developed in a 5 1/2-year-old child after premedication with midazolam and a short volatile anesthetic. Diagnosis was made more difficult because of a history of nephrotic syndrome, convulsions, relative acetylcholinesterase deficiency and chronic medication with a corticosteroid. Successful management of such cases depends on a through differential diagnosis before the institution of physostigmine therapy. Intensive postoperative monitoring is strongly recommended.

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