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Myophosphorylase Deficiency (McArdle Disease, GSD V)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Avoid SuccinylcholineHyperkalemiaRenal DysfunctionOptimize HydrationAvoid Prolonged FastingCareful PositioningSkeletal Muscle WeaknessUnstable ElectrolytesSeizuresAvoid TourniquetRhabdomyolysis

Pathophysiology

Myophosphorylase deficiency, better known as McArdle disease or glycogen storage disease type V, is an autosomal recessive defect in the PYGM gene on chromosome 11q13 that inactivates muscle glycogen...

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