Anesthetic Management of An Adolescent With Lowe Syndrome During Posterior Spinal Fusion

Badar Malik, Hina Walia, David P. Martin, Joseph D. Tobias

Abstract


Lowe syndrome, also known as oculocerebrorenal syndrome, is a rare X-linked disorder that was first described in 1952. Associated end-organ involvement includes the eye, central nervous system (CNS), and the kidney with proximal renal tubular acidosis. Life expectancy is reduced to mid-adulthood as a result of renal disease, hypotonia, and an increased susceptibility to infections. Given the multi-system involvement, surgical intervention may be required to address the sequelae of the disease process. We present a 16-year-old boy with Lowe syndrome who required anesthetic care for posterior spinal fusion for the treatment of neuromuscular scoliosis. Previous reports of anesthetic care of these patients are reviewed, end-organ involvement is discussed, and options for anesthetic care are presented.




J Med Cases. 2017;8(12):388-392
doi: https://doi.org/10.14740/jmc2949w

Keywords


Lowe syndrome; Oculocerebrorenal syndrome; Posterior spinal fusion

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