BACKGROUND We aim to describe the evaluation and management of a patient with the uncommon combination of both mitochondrial myopathy and possible malignant hyperthermia susceptibility as an important source of information and as a valuable example of the role of regional anesthesia for patients with these diagnoses. CASE PRESENTATION A 24 year old woman with a history of possible mitochondrial myopathy and possible malignant hyperthermia susceptibility presented for gynecologic surgery. Surgery was well tolerated with combined spinal epidural anesthesia as well as sedation with midazolam, ketamine, and fentanyl. CONCLUSIONS Anesthetic management of patients with mitochondrial myopathy is challenging, made even more so with concurrent malignant hyperthermia susceptibility. This case adds an example to the literature of employing regional anesthesia as a safe approach to this complex care.

中文翻译：

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不要强调：区域麻醉是线粒体肌病和恶性高热敏感性患者的妇科手术主要麻醉剂的病例报告。

背景技术我们旨在描述对线粒体肌病和恶性高热敏感性的罕见合并症的患者进行评估和治疗，这是重要的信息来源，也是区域麻醉在这些诊断中的重要作用。病例介绍一名24岁的女性，曾因妇科手术而有线粒体肌病和恶性高热敏感性的病史。脊柱硬膜外联合麻醉以及咪达唑仑，氯胺酮和芬太尼的镇静效果良好。结论线粒体肌病患者的麻醉管理具有挑战性，并发恶性高热敏感性更是如此。