Post-Operative Malignant Hyperthermia Complicated by Rhabdomyolysis: Case Report

Kenji Yamada, Tadao Okada, Shohei Honda, Hisayuki Miyagi, Hitoshi Ono, Yuji Morimoto, Hiroaki Yaguchi, Toshi Tugawa, Akinobu Taketomi

Department of Anesthesia, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Department of Neurology, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Department of Pediatric Surgery, Hokkaido University Hospital, Sapporo, Japan.
Department of Pediatrics, Saiseikai Nishi Otaru Hospital, Otaru, Japan.

DOI: 10.4236/ss.2012.32017                

Abstract

Malignant hyperthermia (MH) is a rare but fatal complication that develops under general anesthesia. Particularly, reports of postoperative MH are rare. This report describes the very rare case of a 29-year-old woman with neurological impairment complicated by rhabdomyolysis due to postoperative MH with an onset 30 hours after laparoscopic Nissen fundoplication and open gastrostomy, and the successful medical treatment of MH. We review the literature on this type of relationship between postoperative MH and neurological impairment, and discuss the clinical features of this complication. Furthermore, the usefulness of magnetic resonance imaging for the diagnosis of rhabdmyolysis caused by postoperative MH was explored.

Keywords

Postoperative Malignant Hyperthermia; Neurological Impairment; MRI; Nissen Fundoplication

Conflicts of Interest

The authors declare no conflicts of interest.

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