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

  • 제13권1호
  • /
  • Pages.28-32
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  • 2017
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  • 1738-8813(pISSN)
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  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
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Chloral hydrate에 저산소증 병력을 가진 Lennox-Gastaut syndrome 환아의 전신마취 하 치과 치료

DENTAL TREATMENT OF A CHILD WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA, SUFFERED FROM HYPOXIA CAUSED BY CHLORAL HYDRATE

  • 장석훈 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김광철 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Jang, Seok Hun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Ok Hyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Mi Sun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Lee, Hyo-Seol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Kwang Chul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Choi, Sung Chul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 투고 : 2017.05.25
  • 심사 : 2017.06.19
  • 발행 : 2017.06.30
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초록

진정 약제에 저산소증 병력을 보였던 레녹스-가스토 증후군의 7세 4개월 여아를 전신마취 하에서 안정적으로 치과치료를 진행하였다. 레녹스-가스토 환자의 철저한 술전 평가와 의과와의 협진을 통해 전신마취 하 치과 치료가 매우 효과적으로 진행될 수 있다고 생각된다.

Lennox-Gastaut syndrome (LGS) is a type of childhood epilepsy, and this syndrome can compromise dental treatment. LGS represents variable etiologies, multiple types of intractable seizures, and cognitive impairment in most patients. A 7-year-4-month old girl with LGS was referred to our hospital for dental treatment under general anesthesia. Clinically, the patient presented with multiple dental caries. The patient had been prescribed a ketogenic diet for the management of repetitive seizures. In addition, she experienced severe types of hypoxia during medical examination using chloral hydrate. Therefore, dental treatment was performed under general anesthesia. LGS patients have a high risk of seizure during dental treatment and can induce a lot of complications. Dental treatment under general anesthesia for LGS patients can be carried out careful preoperative evaluation and in cooperation with medical care.

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참고문헌

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