OPD Syndrome
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Unexpected brainstem compression following routine
surgery in a child with oto-palato-digital syndrome.

Clark JR, Smith LJ, Kendall BE, Tasker RC, Wilkinson KA.

Department of Paediatric Intensive Care, Hospital for Sick Children, London.

Oto-palato-digital syndrome type 1 is a rare condition with several features of concern to the
anaesthetist. We report a patient who developed respiratory depression 5 h after general
anaesthesia. This was subsequently found to be due to brainstem compression secondary to
congenital deformities of the skull base and cervical vertebrae.

PMID: 7653767 [PubMed - indexed for MEDLINE]