RT Journal Article
SR Electronic
T1 Diencephalic syndrome: an anaesthetic challenge
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e230394
DO 10.1136/bcr-2019-230394
VO 12
IS 7
A1 Bhim Raju Roncall
A1 Snigdha Bellapukonda
A1 Chitta Ranjan Mohanty
YR 2019
UL http://casereports.bmj.com/content/12/7/e230394.abstract
AB Diencephalic syndrome is one of the rare causes of failure to thrive in infants and young children. It is caused by a tumour in diencephalon (thalamus and hypothalamus), characterised by profound emaciation with uniform loss of body weight despite normal or slightly decreased appetite, locomotor hyperactivity, euphoria and visual symptoms. Anaesthetic considerations due to decreased body fat include positioning to avoid pressure necrosis, measures to avoid hypothermia, proper drug dosing, treating electrolyte imbalances and delayed recovery. We report successful anaesthetic management of a child with diencephalic syndrome scheduled for an endoscopic biopsy of suprasellar space occupying lesion under general anaesthesia.