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CASE REPORT
Year : 2007  |  Volume : 51  |  Issue : 6  |  Page : 534-535

Malignant hyperthermia -a case report


1 Professor, Department of Anaesthesiology and Intensive Care, MaulanaAzad Medical College and associated LN Hospital, New Delhi, India
2 Ex- Professor and Head, Department of Anaesthesiology and Intensive Care, MaulanaAzad Medical College and associated LN Hospital, New Delhi, India

Correspondence Address:
Kirti N Saxena
B-302, Geetanjali Apartments, Vikas Marg Extension, New Delhi-110092
India
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Source of Support: None, Conflict of Interest: None


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A twenty-eight year old female was scheduled to undergo excisional reconstruction and plating of the mandible following a diagnosis of ameloblastoma on incisional biopsy under local anaesthesia. On preanaesthetic evaluation, there was no significant finding except restricted mouth opening and a swelling over the mandible. On attempting laryngoscopy the patient was found to have masseteric spasm following administration of succinylcholine. After one hour it was noted that the EtCO2 was being maintained at 47 -48 mmHg inspite of slight hyperventilation. Within half an hour EtCO2 rose gradually to 60 mm Hg and then suddenly to 80 mm Hg .The patient's pulse rate rose gradually to 130 beats per minutes and then suddenly to 160 beats per minutes .At this time the patient was found to have nasopharyngeal temperature of 106.50 F. Aprovisional diagnosis of malignant hyperthermia was made and the patient was treated accordingly. Further the patient was investigated to rule out other conditions and clinch the diagnosis of MH. This is probably the first case report of this disease from India.


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