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Indian Journal of Anesthesia and Analgesia

Volume  11, Issue 3, July – September 2024, Pages 165-167
 

Case Report

Anaesthetic Management of Gaucher Disease for Splenectomy

Dixsha T P1, S. Mohideen Abdul Kadar2, Aneesh Rajan3, Sasidharan Nair M

1Senior Resident, 2-4Professor, Department of Anaesthesiology, Dr. Somervell Memorial CSI Medical College, Karakonam, Thiruvananthapuram 695504, Kerala, India.
 

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DOI: http: //dx.doi.org/10.21088/ijaa.2349.8471.11324.10

Abstract

Gaucher`s disease is the most common form of lysosomal storage disorder. It is caused by an inherited deficiency of beta glucocerebrosidase enzyme. It results in accumulation of beta glucocerebroside leading to end organ dysfunction. Gaucher disease is an autosomal recessive inheritance by mutations in the GBA gene on chromosome 1. It affects both sexes. The incidence is estimated to be 1:40000 in Europe. Most commonly, the disease is differentiated into a non-neuronopathic form and a neuronopathic form. Gaucher disease may present a challenge to the anesthesiologist because of abnormal coagulation and multi organ dysfunction. These factors may affect the choice of anaesthesia type. We aim to report the anaesthetic management in a 25 years old male with Gaucher’s disease posted for splenectomy.
 


Keywords : Thrombocytopenia Anaemia; Hepatosplenomegaly
Corresponding Author : Dixsha T P,