Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review

<table class="fixed-width table-group" id="tab2"><tr><td><table class="table"><colgroup><col style="width:12.42em"/><col style="width:40.29em"/></colgroup><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr class="thead"><td class="align_left">Grade</td><td class="align_center">Description</td></tr><tr><td class="thead-hr" colspan="2"><hr/></td></tr><tr><td class="align_left">Grade 1</td><td class="align_center">No muscular impairment</td></tr><tr><td class="align_left" colspan="2"><hr/></td></tr><tr><td class="align_left">Grade 2</td><td class="align_center">Minimal signs: myotonia, facial weakness, jaw and temporal wasting, ptosis, no distal weakness except isolated digit flexor weakness</td></tr><tr><td class="align_left" colspan="2"><hr/></td></tr><tr><td class="align_left">Grade 3</td><td class="align_center">Distal weakness, no proximal weakness except isolated elbow extensor weakness</td></tr><tr><td class="align_left" colspan="2"><hr/></td></tr><tr><td class="align_left">Grade 4</td><td class="align_center">Mild to moderate proximal weakness</td></tr><tr><td class="align_left" colspan="2"><hr/></td></tr><tr><td class="align_left">Grade 5</td><td class="align_center">Severe proximal weakness</td></tr><tr class="table-tr"><td colspan="2"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

<div>Muscular impairment rating scale [<a href="/journals/cria/2019/4282305/#B1" target="_blank">1</a>].</div>

Case Reports in Anesthesiology

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Table 2

Table 2: Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review 