The swallowing disorder in myotonia dystrophica

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Anaesthesia for major abdominal surgery in a patient with myotonia dystrophica.

A case report is presented of a woman with known myotonia dystrophica, who required partial gastric resection and cholecystectomy. Neuromuscular blockade was obtained using a single dose of vecuronium, and neuromuscular function was determined by the "train-of-four count" technique. The intraoperative course was uneventful, and it was not necessary to use neostigmine to antagonize neuromuscular...

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Swallowing Disorder in Multiple Sclerosis: Modified Version of the Screening Tool

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Myotonia levior is a chloride channel disorder.

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Negative extradural pressure may not be caused by tenting of the dura.

Sir,—We read with interest the review article on anaesthesia and myotonia [1]. Myotonia dystrophica is an uncommon disorder with as yet no consensus of opinion regarding the ideal anaesthetic for these patients. Propofol has been used in this disorder with variable responses, including prolonged recovery, altered dose–response curves and precipitation of the myotonia. We report three additional...

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ژورنال

عنوان ژورنال: Gastroenterology

سال: 1966

ISSN: 0016-5085

DOI: 10.1016/s0016-5085(66)80031-8