Epidural anesthetic management of a patient with amyotrophic lateral sclerosis (ALS): A case report.
10.4097/kjae.2009.57.3.361
- Author:
Young Suk KWON
1
;
Yun Hee LIM
;
Seung Hoon WOO
;
Jun Heum YON
;
Kye Min KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University, College of Medicine Seoul, Korea. painfree@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Amyotrophic lateral sclerosis;
Epidural anesthesia;
Regional anesthesia
- MeSH:
Amyotrophic Lateral Sclerosis;
Anesthesia;
Anesthesia, Conduction;
Anesthesia, Epidural;
Anesthesia, General;
Animals;
Ganglia;
Horns;
Humans;
Lithotripsy;
Motor Neuron Disease;
Muscles;
Perioperative Period;
Pyramidal Tracts;
Spinal Cord
- From:Korean Journal of Anesthesiology
2009;57(3):361-363
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Amyotrophic lateral sclerosis (ALS) is a degenerative disease of motor ganglia in the anterior horn of spinal cord and spinal pyramidal tracts. The impairments of respiratory function and weakened upper airway muscle affect anesthetic management. General anesthesia may cause respiratory problem. Regional anesthesia such as spinal and epidural anesthesia is also relative contraindication for patients with a motor neuron disease, including ALS, for the fear of exacerbating the disease. Therefore patients with ALS are needed careful management during perioperative period. We report a case of epidural anesthesia for transurethral ureteroscopic lithotripsy in a patient with ALS. The patient recovered from anesthesia without exacerbating the disease.
