1/2. torticollis due to atlanto-axial rotatory fixation following general anaesthesia.Atlanto-axial rotatory fixation is uncommon, but should be suspected in any patient developing a torticollis during the recovery period of an operation performed on the head and neck under general anaesthesia. The present case report shows that the condition can occur in adults as well as children. A high degree of suspicion is required to instigate appropriate imaging. CT provides unequivocal proof and will lead to early successful treatment.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. Refractory dystonia during propofol anaesthesia in a patient with torticollis-dystonia disorder.PURPOSE: To report a case of refractory dystonia under propofol anaesthesia in a patient with torticollis-dystonia disorder. CLINICAL FEATURES: A 38-yr-old man presented for an MRI scan for investigation of a torticollis-dystonia disorder. There was a biphasic response to propofol with complete amelioration of the torticollis and limb dystonia initially with subsequent recurrence under deep propofol anaesthesia. Coadministration of midazolam, diazepam, and thiopentone were not successful in abolishing the recurrent dystonia. CONCLUSIONS: propofol should preferably be avoided in patients with torticollis and dystonias. Where complete control of movements is required, it may be necessary to consider general endotracheal anaesthesia with muscle relaxants.- - - - - - - - - - ranking = 1.4keywords = anaesthesia (Clic here for more details about this article) |