Abdominal pain related to mitochondrial neurogastrointestinal encephalomyopathy syndrome may benefit from splanchnic nerve blockade


ÇELEBİ N., Şahin A., CANBAY Ö., ÜZÜMCÜGİL F., AYPAR Ü.

Paediatric Anaesthesia, vol.16, no.10, pp.1073-1076, 2006 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 10
  • Publication Date: 2006
  • Doi Number: 10.1111/j.1460-9592.2006.01918.x
  • Journal Name: Paediatric Anaesthesia
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1073-1076
  • Keywords: Epigastric pain, Mitochondrial neurogastrointestinal encephalomyopathy, Splanchnic nerve blockade
  • Lokman Hekim University Affiliated: Yes

Abstract

Patients diagnosed with abdominal pain related to mitochondrial neurogastrointestinal encephalopathy (MNGIE) may benefit from splanchnic nerve blockade. MNGIE, varying in age of onset and rate of progression, is caused by loss of function mutation in thymidine phosphorylase gene. Gastrointestinal dysmotility, pseudo-obstruction and demyelinating sensorimotor peripheral neuropathy (stocking-glove sensory loss, absent tendon reflexes, distal limb weakness, and wasting) are the most prominent manifestations. Patients usually die in early adulthood (mean 37.6 years; range 26-58 years). We report a case of an 18-year-old patient with MNGIE. Our patient's abdominal pain was relieved after splanchnic nerve blockade. © 2006 The Authors.