Case Report of Epidural Block for A Patient with The Shy - Drager Syndrome.
10.4097/kjae.1994.27.12.1814
- Author:
Yoon Hee KIM
1
;
Seok Hwa YOON
;
Jung Un LEE
Author Information
1. Department of Anesthesiology, College of Medicine, Chungnam National University, Taejon, Korea.
- Publication Type:Case Report
- Keywords:
Shy-Drager syndrome;
Autonomic failure;
Epidural anesthesia
- MeSH:
Anesthesia;
Anesthesia, Epidural;
Blood Pressure;
Female;
Humans;
Hypotension, Orthostatic;
Pressoreceptors;
Shy-Drager Syndrome
- From:Korean Journal of Anesthesiology
1994;27(12):1814-1817
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Shy-Drager syndrome is a very rare chronic progressive disease characterised by autonomic failure and multiple system atropy. The main clinical manifestations of this syndrome are orthostatic hypotension, urinary and bowel dysfunction, impaired sexual potency and parkinsonean symptoms. A key in the management of anesthesia is the maintenance of cardiovascular atability. These patient are suffered from defective baroreceptor regulation of the blood pressure as a result of autonomic failure. We report a successful epidural anesthesia for vwicolithotomy in a female patient with Shy-Drager syndrome.