Anesthetic management of a patient with Fahr’s disease, dextrocardia, and right lung agenesis: a case report
Lucas Lessa Nunes, Tiago Silva e Silva, José Fernando Amaral Meletti
Abstract
Fahr’s disease is a rare neurological disorder characterized by bilateral brain and vascular calcifications, often presenting with parkinsonism, cognitive decline, and neuromuscular abnormalities. We report the case of a 42-year-old male with Fahr’s disease, right lung agenesis, and dextrocardia undergoing elective laparoscopic cholecystectomy. General anesthesia was induced with fentanyl, lidocaine, propofol, and rocuronium, maintaining intraoperative stability. Despite the challenges posed by pneumoperitoneum and pre-existing conditions, the patient was extubated without complications. This report demonstrates that standard anesthetic practices and intraoperative monitoring ensured a safe outcome in a patient with Fahr’s disease, dextrocardia, and right lung agenesis, highlighting the adequacy of conventional strategies even in complex clinical scenarios.
Keywords
References
1. Gupta B. Anesthetic considerations in a case of Fahr and Primrose syndrome. Res Pract Anesthesiol Open J. 2018;3(1):1-6. https://doi.org/10.17140/RPAOJ-3-116.
2. Jiang W, Mei S, Deng Q, Lei C, Pang A. A case of cerebral large-vessel vasculitis concomitant with Fahr syndrome in systemic lupus erythematosus. Neurologist. 2024;29(1):17-21. https://doi.org/10.1097/NRL.0000000000000520. PMid:37639572.
3. Zhao T, Xu S, Liu S, Xu J, Zhang X, Zhan Y. Fahr’s disease linked to a novel MYORG mutation presenting as paroxysmal limb stiffness and dysarthria: case report and literature review. Mol Genet Genomic Med. 2023;11(12):e2276. https://doi.org/10.1002/mgg3.2276. PMid:37680026.
4. Batla A, Tai XY, Schottlaender L, Erro R, Balint B, Bhatia KP. Deconstructing Fahr’s disease/syndrome of brain calcification in the era of new genes. Parkinsonism Relat Disord. 2017;37:1-10. https://doi.org/10.1016/j.parkreldis.2016.12.024. PMid:28162874.
5. Park S, Jee DL, Kim H. General anesthesia for a patient with Fahr’s syndrome. Medicine (Baltimore). 2019;98(17):e15390. https://doi.org/10.1097/MD.0000000000015390. PMid:31027134.
6. Hedenstierna G. Oxygen and anesthesia: what lung do we deliver to the post-operative ward? Acta Anaesthesiol Scand. 2012;56(6):675-85. https://doi.org/10.1111/j.1399-6576.2012.02689.x. PMid:22471648.
Submitted date:
02/19/2025
Accepted date:
12/05/2025
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