Procedural Sedation Management in Patients Suspected of West Syndrome

Lyanda Watung; Eka Yudha Lantang

doi:10.64531/yd39sy41

Authors

Lyanda Watung Universitas Sam Ratulangi Author
dr. Eka Yudha Lantang, M.Min, MM, Sp.An-Ti, Subsp. TI (K) Author

DOI:

https://doi.org/10.64531/yd39sy41

Keywords:

West syndrome, infantile spasms, peripheral venous access difficulty

Abstract

West syndrome is a rare epileptic disorder characterized by a triad of infantile spasms, mental retardation, and an interictal electroencephalogram (EEG) pattern known as hypsarrhythmia. Comprehensive examination is necessary in anesthetic preparation for these patients due to potential difficulties in airway management resulting from anatomical malformations, challenges in peripheral venous access, mobility issues caused by contractures, seizure activity, and adverse effects of medications therapy. This report details the anesthetic management of a patient suspected of West syndrome undergoing procedural sedation for magnetic resonance imaging (MRI), utilizing total intravenous anesthesia (TIVA).

Author Biography

dr. Eka Yudha Lantang, M.Min, MM, Sp.An-Ti, Subsp. TI (K)

Division of Ambulatory Anesthesia and Perioperative Medicine Departement Anesthesiology and Intensive Therapy Medical Faculty Sam Ratulangi University - RD Kandou Hospital

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