Definition Myotonic dystrophy (dystrophia myotonica, DM) is a muscular disorder characterized by prolonged contraction and muscle relaxation, progressive muscle weakness, and wasting.  Intraoperative management should aim to avoid triggering myotonia and should take into account that DM patients are at increased risk for the following: Cardiac conduction abnormalities Aspiration Hypersensitivity to anesthetic agents Metabolic abnormalities, […]