Anaesthetic Management of a Patient with Pseudo-TORCH Syndrome

• Published in: Balkan medical journal 2013-09, Vol.30 (3), p.321-322
• Main Authors: Berk, Derya, Kuş, Alparslan, Sahin, Tülay, Solak, Mine, Toker, Kamil
• Format: Article
• Language: English
• Subjects: anaesthesia; Case Report; Pseudo-TORCH syndrome; supraglottic airway device
• ISSN: 2146-3123; 2146-3131
• DOI: 10.5152/balkanmedj.2013.6960

Pseudo-TORCH syndrome is a rare, chronic disorder that is characterised by dimorphic features such as microcephaly, intracranial calcification, seizures, mental retardation, hepatosplenomegaly and coagulation disorders. We present the anaesthetic management of a forty day-old boy with Pseudo-TORCH syndrome during magnetic resonance imaging. Microcephaly, growth failure, high palate and bilateral rales in the lungs were detected in pre-anaesthetic physical examination. The peripheral oxygen saturation was 88-89% in room-air and was 95% in a hood with 5 L/min oxygen. We planned general anaesthesia to ensure immobility during magnetic resonance imaging. After standard monitoring, general anaesthesia was induced with 8% sevoflurane in 100% O2. After an adequate depth of anaesthesia was reached, we inserted a supraglottic airway device to avoid intubation without the use of a muscle relaxant. In patients with Pseudo-TORCH syndrome, the perioperative anaesthetic risk was increased. We believe that using a supraglottic airway device to secure the airway is less invasive than intubation, and can be performed without the need of muscle relaxants.