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KMID : 1144020170130010028
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Journal of Korean Association for Disability and Oral Health
2017 Volume.13 No. 1 p.28 ~ p.32
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DENTAL TREATMENT OF A CHILD WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA, SUFFERED FROM HYPOXIA CAUSED BY CHLORAL HYDRATE
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Jang Seok-Hun
Nam Ok-Hyung
Kim Mi-Sun
Lee Hyo-Seol
Kim Kwang-Chul
Choi Sung-Chul
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Abstract
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Lennox-Gastaut syndrome (LGS) is a type of childhood epilepsy, and this syndrome can compromise dental treatment. LGS represents variable etiologies, multiple types of intractable seizures, and cognitive impairment in most patients.
A 7-year-4-month old girl with LGS was referred to our hospital for dental treatment under general anesthesia. Clinically, the patient presented with multiple dental caries. The patient had been prescribed a ketogenic diet for the management of repetitive seizures. In addition, she experienced severe types of hypoxia during medical examination using chloral hydrate. Therefore, dental treatment was performed under general anesthesia.
LGS patients have a high risk of seizure during dental treatment and can induce a lot of complications. Dental treatment under general anesthesia for LGS patients can be carried out careful preoperative evaluation and in cooperation with medical care.
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KEYWORD
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Lennox-Gastaut syndrome, Seizure, Ketogenic diet, Hypoxia, General anesthesia
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