POST-ANESTHETIC PARALYSES.

Pathophysiologic and anesthetic considerations for patients with myotonia congenita or periodic paralyses.

Myotonia congenita and periodic paralyses are hereditary skeletal muscle channelopathies. In these disorders, various channel defects in the sarcolemma lead to a severely disturbed membrane excitability of the affected skeletal muscles. The clinical picture can range from severe myotonic reactions (e.g., masseter spasm, opisthotonus) to attacks of weakness and paralysis. Provided here is a shor...

Reversal agents in the post-anesthetic state.

The Causes of Transient Cerebral Paralyses

" apoplectic strokes " is one of the most important and most interesting fields for research at the present time. They cut short so many vigorous lives, or reduce them almost to the level of a vegetative existence. They arise, too, in the course of so many different diseases, and checkmate us when a prospect of recovery is in sight. The majority of the cases are accompanied by organic lesions, ...

Modern Methods in the Surgery of Paralyses

Congenital and acquired forms of paralysis have usually been left in the hands of the family physician, supplemented by occasional visits to the nerve specialist or the shop for orthopsedic appliances ; and the treatment has been on the routine lines of electricitj* in some form, massage, hydrotherapeutics and nervine tonics. Hitherto the ordinary surgeon has shunned this class of case as much ...

Periodic paralyses: when channels go wrong.

In 1865, Claude Bernard wrote that ‘the constancy of the internal milieu is the essential condition to a free and independent life’ [1]. It would be hard to find a more illustrative paradigm for that statement than for the case of hyperkalaemic periodic paralysis (HyperPP) reported by Grgic et al. in this issue [2]. A 14-year-old male was admitted for a sudden ascending paralysis involving the ...