| CASE REPORT |
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| Year : 2015 | Volume
: 8
| Issue : 4 | Page : 683-685 |
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Crouzon syndrome: an anesthetic challenge
Minal Harde MD, DNB 1, Varsha Suryavanshi1, Swati Chhatrapati1, Mahadevan Vaidyanathan1, Rakesh Bhadade2
1 Department of Anaesthesia, T.N.M.C. & B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra, India
2 Department of Medicine, T.N.M.C. & B.Y.L. Nair Ch. Hospital, Mumbai, Maharashtra, India
Correspondence Address:
Minal Harde
Flat No 15, Anand Bhavan, Nair Hospital, Mumbai Central 08, Maharashtra, 440011
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1687-7934.172770
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Crouzon syndrome is a rare hereditary disorder, characterized by craniosynostosis. Management of difficult airway is challenging because of craniofacial abnormalities. Presentation during adulthood is rare. We describe the case of a 37-year-old man with a known case of Crouzon syndrome who was posted for fixation of humerus fracture. The patient was unique because of the presence of kyphoscoliosis with severe restrictive lung functions, atlantoaxial dislocation, and mental retardation, having almost all features of the syndrome. Anesthesia plan A was to use laryngeal mask airway proseal as the patient had adequate mouth opening. Nasal fiberoptic bronchoscopy was contraindicated and regional nerve block was not a feasible option. Plan A was not successful because of obstructed breathing pattern. Plan B of oral fiberoptic bronchoscopy-guided intubation with good airway anesthesia and sedation was successfully managed in the next attempt.
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