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Implications of Mitochondrial Dysfunction for the Anesthetic and Perioperative Management: A Case Report of Spinal Fusion, Genetic Confusion, and a Patient’s Perspective.

Implications of Mitochondrial Dysfunction for the Anesthetic and Perioperative Management: A Case Report of Spinal Fusion, Genetic Confusion, and a Patient’s Perspective.
Author Information (click to view)

Aglio LS, Lockhart BT, Lunshof JE, Nabzdyk CS,


Aglio LS, Lockhart BT, Lunshof JE, Nabzdyk CS, (click to view)

Aglio LS, Lockhart BT, Lunshof JE, Nabzdyk CS,

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A & A case reports 2017 10 12() doi 10.1213/XAA.0000000000000641
Abstract

We describe a patient’s personal struggle with a symptom complex consisting of profound muscle weakness requiring pyridostigmine, and metabolic abnormalities suggestive of mitochondrial disease. This included a profound sensitivity to opioids, which in the past caused severe respiratory depression during a prior hospital admission. Interestingly, the patient herself is a professor of ethics in genomic sciences, and she and her medical team thus far have not been able to formally diagnose her with mitochondrial disease. The patient now presented for a multilevel lumbar spine fusion and her hospital course and perspective on her medical odyssey are described here.

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