Infraclavicular Catheter in MELAS Syndrome for Analgesic Purposes

ONAY M., Kiremitçi T. T., ERDOĞAN KAYHAN G., Algın D. İ., GÜLEÇ M. S.

Neurology India, vol.71, no.4, pp.764-766, 2023 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 71 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.4103/0028-3886.383869
  • Journal Name: Neurology India
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, Veterinary Science Database
  • Page Numbers: pp.764-766
  • Keywords: Infraclavicular catheter, MELAS syndrome, myoclonus, pain
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

MELAS syndrome is defined as mitochondrial myopathy accompanied by encephalopathy, lactic acidosis, myoclonus, stroke‑like episodes. It has a progressive course, multi‑systemic effects and severe complications. Myoclonic contractions are unresponsive to many anti‑epileptic drugs; these contractions and spasms may lead to severe pain. Systemic analgesic drugs are not sufficient to control pain. Therefore, continuous brachial plexus blockage may be preferred. Infraclavicular brachial plexus catheter is placed in our case. Local anesthetic injections through this catheter may be effective in pain management and results are to be discussed here.