General anesthesia for laparoscopic cholecystectomy in a patient with Kennedy's disease: A case report.
10.4097/kjae.2008.55.1.124
- Author:
Jang hyun KIM
1
;
Jung won HWANG
;
Yun Mi SO
;
Jung Hee RYU
;
Young Tae JEON
;
Sang Hwan DO
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. jungwon @snubh.org
- Publication Type:Case Report
- Keywords:
general anesthesia;
Kennedy's disease;
laparoscopic cholecystectomy;
lower motor neuron disease
- MeSH:
Anesthesia;
Anesthesia, Conduction;
Anesthesia, General;
Atracurium;
Cholecystectomy, Laparoscopic;
Extremities;
Humans;
Motor Neuron Disease;
Neurologic Manifestations;
Neuromuscular Blockade
- From:Korean Journal of Anesthesiology
2008;55(1):124-127
- CountryRepublic of Korea
- Language:English
-
Abstract:
Kennedy's disease is a rare lower motor neuron disease affecting the limbs and bulbar musculature. Regional anesthesia is generally the recommended anesthetic technique in patients with Kennedy's disease because of bulbar involvement and airway clearing disturbance. We administered general anesthesia in a patient with Kennedy's disease who was undergoing a laparoscopic cholecystectomy. We closely monitored the degree of neuromuscular blockade throughout the operation and injected atracurium on demand. There was no exacerbation of neurologic signs or symptoms postoperatively. Therefore, we report the successful administration of general anesthesia for laparoscopic cholecystectomy in a patient with Kennedy's disease.
