The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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DENTAL TREATMENT OF A PATIENT WITH PERSISTENT HYPERINSULINEMIC HYPOGL YCEMIA OF INFANCY UNDER GENERAL ANESTHESIA - A CASE REPORT -

지속 고인슐린성 저혈당증 환자의 전신마취 하 치과치료 - 증례보고 -

  • Jeon, Myong-Sook (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Yum, Kwang-Won (Department of Dental Anesthesiology, Seoul National University, School of Dentistry) ;
  • Yi, Young-Eun (Department of Dental Anesthesiology, Seoul National University, School of Dentistry)
  • 전명숙 (서울대학교병원 마취통증의학과) ;
  • 서광석 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 김현정 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 염광원 (서울대학교 치의학대학원 치과마취과학교실) ;
  • 이영은 (서울대학교 치의학대학원 치과마취과학교실)
  • Published : 2007.06.30
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Abstract

Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) characterized by severe hypoglycemia caused by inappropriate over secretion of insulin is the most common cause of hypoglycemia in early infancy. The symptoms of hypoglycemia in neonate and infancy are neonatal sepsis, respiratory difficulty, tachypnea, apnea, cyanosis, and seizure. Especially the recurrent and severe hypoglycemia within $1^{st}$ year of life is responsible for severe and irreversible brain damage. To prevent it aggressive treatment is required. Due to severe and irreversible brain damage these children frequently require anesthesia during imaging procedures such as MRI or during various dental surgical procedures. Because of frequent hypoglycemia and dental phobia in children with neurologic disorder, anesthesiologists should pay attention to patient. We report a successful anesthetic management in a patient with PHHI for dental procedures.

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