Anesthesia management of a patient with congenital Insensitivitytopain [Konjenital aʇri duyarsizliʇi olan bir olguda Anestezi yönetimi]

Congenital insensitivity to pain syndrome is a rare,sensorial and autonomic neuropathy characterized by unexplained fever,anhidrosis and insensitivity to pain. patients may require anesthesia for surgical procedures due to mental retardation and traumas arisedfrom self mutilating behaviours. case reports in the literature support that these patients can be managed with general anesthesia safely. however,it may be difficult to estimate depth of anesthesia due to impaired autonomic responses to painful stimuli during anesthesia management. in this case report,we aim to present our intravenous anesthesia management in a 5-years-old girl with congenital insensitivity to pain by using bispectral index (bis) monitoring.