Anesthetic Management of An Adolescent With Lowe Syndrome During Posterior Spinal Fusion

Abstract

Lowe syndrome, also known as oculocerebrorenal syndrome, is a rare X-linked disorder that was first described in 1952. Associated end-organ involvement includes the eye, central nervous system (CNS), and the kidney with proximal renal tubular acidosis. Life expectancy is reduced to mid-adulthood as a result of renal disease, hypotonia, and an increased susceptibility to infections. Given the multi-system involvement, surgical intervention may be required to address the sequelae of the disease process. We present a 16-year-old boy with Lowe syndrome who required anesthetic care for posterior spinal fusion for the treatment of neuromuscular scoliosis. Previous reports of anesthetic care of these patients are reviewed, end-organ involvement is discussed, and options for anesthetic care are presented. J Med Cases. 2017;8(12):388-392 doi: https://doi.org/10.14740/jmc2949w