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To the Editor.
—The editorial "Malignant Hyperthermia" (84:407-408, 1970) was most appreciated. I saw such a case in January 1967 while performing an operation to correct an exotropia of the lateral recti of an apparently healthy 10-year-old boy. He had undergone an uneventful tonsillectomy and adenoidectomy at age 5. The patient was anesthetized with thiopental sodium, and we observed no rigidity of the muscles following administration of succinylcholine chloride. The operative procedure lasted for approximately 35 minutes. As drapes were removed prior to extubation, we noticed a blotched appearance of the skin. This consisted of some areas that were quite white and others that were quite bluish in appearance. These blotches faded within approximately ten minutes, and extubation was carried out. At this time, we noticed that his pulse was quite irregular, but oxygen administration by mask quickly corrected this. When oxygen was discontinued, the patient promptly became cyanotic;
Rowell RR. MALIGNANT HYPERTHERMIA. Arch Ophthalmol. 1971;85(5):638-639. doi:10.1001/archopht.1971.00990050640023