Chloral hydrate에 저산소증 병력을 가진 Lennox-Gastaut syndrome 환아의 전신마취 하 치과 치료
DENTAL TREATMENT OF A CHILD WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA, SUFFERED FROM HYPOXIA CAUSED BY CHLORAL HYDRATE
장석훈, 남옥형, 김미선, 이효설, 김광철, 최성철,
소속 상세정보
장석훈 ( Jang Seok-Hun ) - 경희대학교 치의학전문대학원 소아치과학교실
남옥형 ( Nam Ok-Hyung ) - 경희대학교 치의학전문대학원 소아치과학교실
김미선 ( Kim Mi-Sun ) - 경희대학교 치의학전문대학원 소아치과학교실
이효설 ( Lee Hyo-Seol ) - 경희대학교 치의학전문대학원 소아치과학교실
김광철 ( Kim Kwang-Chul ) - 경희대학교 치의학전문대학원 소아치과학교실
최성철 ( Choi Sung-Chul ) - 경희대학교 치의학전문대학원 소아치과학교실
KMID : 1144020170130010028
Abstract
Lennox-Gastaut syndrome (LGS) is a type of childhood epilepsy, and this syndrome can compromise dental treatment. LGS represents variable etiologies, multiple types of intractable seizures, and cognitive impairment in most patients.
A 7-year-4-month old girl with LGS was referred to our hospital for dental treatment under general anesthesia. Clinically, the patient presented with multiple dental caries. The patient had been prescribed a ketogenic diet for the management of repetitive seizures. In addition, she experienced severe types of hypoxia during medical examination using chloral hydrate. Therefore, dental treatment was performed under general anesthesia.
LGS patients have a high risk of seizure during dental treatment and can induce a lot of complications. Dental treatment under general anesthesia for LGS patients can be carried out careful preoperative evaluation and in cooperation with medical care.
키워드
Lennox-Gastaut syndrome; Seizure; Ketogenic diet; Hypoxia; General anesthesia
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