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Prise en charge anesthésique des patients porteurs de myotonie de Steinert : à propos de deux cas cliniques
Authors:A. Mahr  Y. Attof  C. Flamens  O. Bastien  J.-J. Lehot
Affiliation:1. Service d’anesthésie-réanimation, hôpital cardiovasculaire et pneumologique Louis-Pradel, hospices civils de Lyon, 59, boulevard Pinel, 69394 Lyon cedex 03, France;2. ERI 22, université Claude-Bernard, Lyon 1, France
Abstract:Steinert disease, the most common myopathy in adults, is a challenge for anaesthesiologists and critical care physicians during the perioperative time. The risk of myotonic crisis, malign hyperthermia and the increased sensitivity to anaesthetic drugs shouldn’t be forgotten. On contrary, Steinert disease is rarely revealed in the postoperative period. It should be evoked in case of postoperative pulmonary complications such as difficult weaning with neurological symptoms like hypotonia or muscular weakness.
Keywords:Myotonie de Steinert   Dystrophie myotonique type 1   Diagnostic   Anesthé  sie gé    rale   Complications postopé  ratoires   Sevrage difficile
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