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KMID : 0604020090240030168
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Korean Journal of Critical Care Medicine
2009 Volume.24 No. 3 p.168 ~ p.171
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Delayed Onset of Malignant Hyperthermia - A Case Report -
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Lim Jeong-Wook
Yeo Seok-Kon
Yang Seong-Hwan
Hwang In-Seok
Lee Jong-Soo
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Abstract
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Malignant hyperthermia is a potentially fatal genetic and metabolic myopathy that presents with high fever, and muscle rigidity, and it often occurs after administering anesthetic medication. Most cases of malignant hyperthermia occur during anesthesia or surgery, but delayed malignant hyperthermia is very rare, and if it is detected late, it has a high mortality rate. A 39-year-old male with an acute subdural hematoma underwent decompressive craniectomy without any intraoperative medical problems, but a high fever above 40℃ occurred after 8 hours and he was dead in spite of aggressive management after 48 hours postoperatively. We present here a case of delayed malignant hyperthermia along with a review of the related literature.
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KEYWORD
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delayed malignant hyperthermia, ryanodine receptor, sevoflurane
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