Table.
Patient # | Age (y) & Gender | Age at first Attack (yr) | Family history | SEPT9 Mutation* | Surgery type | Anesthetic | Perioperative Steroids and Immunosuppressants |
---|---|---|---|---|---|---|---|
| |||||||
14 | 34 F | 19 | Y | Y | Caesarean section | Epidural | 24 hours prior to induced delivery had MPS 1000 mg |
Postpartum IVIG 0.4 gm/kg/day × 6 days beginning post delivery day 1 | |||||||
| |||||||
18 | 30 F | 30 | Y | Y | Thyroid resection | General | PRED 60 mg/day 1 week prior to surgery |
During surgery 8 mg IV DXS | |||||||
| |||||||
19 | 66 M | 17 | N | N | Lumbar spine surgery | General | IV MPS 1000 mg day preceding, day of, and day after surgery |
All SEPT9 mutations were gene duplications including the 645 base pair exon.
Abbreviations; M=male; F=female; Y=yes; N=No; DXS=Dexamethasone; MPS=Methylprednisolone; IVIG= Intravenous immunoglobulin; PRED=Oral prednisone.