Acta Scientific Cancer Biology (ASCB) (ISSN: 2582-4473)

Case Report Volume 5 Issue 10

Anesthetic Management of a Patient with Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke-Like Symptoms (MELAS): A Case Report

Refaat Shehab1* and MO Ababneh2

1Senior Consultant, Anaesthesiologist, Abdali Medical Centre, Al-Istethmar Street - Abdali Boulevard - Amman, Jordan
2Consultant, Clinical Director, Anaesthesia Department, Abdali Medical Centre, Al-Istethmar Street - Abdali Boulevard - Amman, Jordan

*Corresponding Author: Refaat Shehab, Senior Consultant, Anaesthesiologist, Abdali Medical Centre, Al-Istethmar Street - Abdali Boulevard - Amman, Jordan.

Received: August 27, 2021; Published:

Abstract

Mitochondrial encephalopathy, lactic acidosis, stroke-like symptoms (MELAS) syndrome is a specific mitochondrial myopathy that results in defects in respiratory enzyme complexes I and IV.

This ultimately causes defects in aerobic metabolism, especially in high-energy-requiring organs, leading to an obvious concern with anesthetic management.

Mitochondrial disease (MD) is recognized as an important cause of a wide range of physiologic changes that affect the perioperative period [1], strongly affected by anesthetics.

We managed a 36-year male patient with MELAS, underwent a ureteroscopy, lithotripsy and indwelling double J stent exchange. The patient was successfully managed with a spinal/epidural anaesthesia.

Keywords: MELAS; Anesthetic Management; Myopathy; Genetics

References

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Citation

Citation: Refaat Shehab and MO Ababneh. “Anesthetic Management of a Patient with Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke-Like Symptoms (MELAS): A Case Report”. Acta Scientific Cancer Biology 5.10 (2021): 04-07.

Copyright

Copyright: © 2021 Refaat Shehab and MO Ababneh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate35%
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Impact Factor1.183

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