An unusual presentation in a patient with metachromatic leukodystrophy

Authors: Malde, A. D.¹; Naik, L. D.¹; Pantvaidya, S. H.¹; Oak, S. N.¹

Source: Anaesthesia, Volume 52, Number 7, July 1997 , pp. 690-694(5)

Publisher: Blackwell Publishing

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Abstract:

A 2-year-old child was admitted with bilateral bronchopneumonia. During convalescence he sustained sudden respiratory arrest for which he required ventilatory support. He had undergone cholecystectomy 1 month prior to the above episode. The pathological examination of the gall bladder mass had revealed the features of metachromatic leukodystrophy. Gastro-oesophageal reflux, which is associated with this neurological disorder, was suspected to be the cause of this sudden respiratory arrest and its presence was confirmed by barium swallow examination.

Keywords: Complications; metachromatic leukodystrophy, aspiration, arrest,; gastro-oesophageal reflux

Document Type: Review article

DOI: 10.1111/j.1365-2044.1997.az0158c.x

Affiliations: 1: Departments of Anaesthesia and Paediatric Surgery, L.T.M. Medical College and L.T.M.G. Hospital, Sion, Bombay 400022, India

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