An Anesthesia Experience in a Non-traumatic Patient with a High Level of Isolated Creatine Kinase

Muscle tissue may be damaged as a consequence of both mechanical and metabolic factors. Serum levels of skeletal muscle enzymes or proteins are markers of the functional status of muscle tissue. Creatine kinase, lactate dehydrogenase, aldolase, enolase, aspartate aminotransferase are the most useful serum markers of muscle injury. However none of them are as specific as creatine kinase. Persistent elevation of serum creatine kinase in individuals with normal neurological and laboratory examinations has been called idiopathic hyperCKemia. The management of patients with persistently elevated serum levels of creatine kinase, usually without clinical symptoms, is a difficult and puzzling problem for anesthetists. By the presentation of this hereby the case report herein, it is aimed to share the experience gained from a patient, who has been diagnosed with idiopathic hyperCKemia.