Letter

We read with great interest the article by Sato Boku, Sento, Hasegawa, Tsutsumi, Kamimura, So, Kako, and Sobue, “Anesthetic management of a patient with Freeman-Sheldon syndrome undergoing oral surgery: a case report.”[1-2] It is encouraging to see this exquisitely rare condition discussed in the literature. Unfortunately, this article[1-2] contains significant flaws (Fig 1), apparently resulting from the authors’ omission of recent literature, especially clinical recommendations for anesthesia management.[3-8] As Freeman-Sheldon syndrome, now Freeman-Burian syndrome (FBS),[9] is an exquisitely rare condition, little is known about it. Many who believe they have encountered it in clinical practice are eager to publish their experience, despite the perils.