[SMC] Anesthetic Considerations in Congenital Myasthenic Syndrome: A Case Report

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Cureus. 2025 Dec 17;17(12):e99454. doi: 10.7759/cureus.99454. eCollection 2025 Dec.

ABSTRACT

Congenital myasthenic syndrome poses unique anesthetic challenges. Most notably, this rare disease is heterogeneous. Affected individuals' responses to depolarizing and non-depolarizing neuromuscular blocking agents are poorly understood. Additionally, while neuraxial techniques may confer respiratory benefits due to their opioid-sparing profiles, it is unclear to what extent local anesthetics may impair signal transmission at the neuromuscular junction. This case report raises concern for heightened sensitivity to non-depolarizing neuromuscular blocking agents in patients with congenital myasthenic syndrome. Neuraxial analgesia with caudal administration of dilute local anesthetics appears to be safe.

PMID:41552218 | PMC:PMC12810207 | DOI:10.7759/cureus.99454


Source: https://pubmed.ncbi.nlm.nih.gov/4155221 ... 22+67771e2