Profound hypotension immediately following insertion of methyl methacrylate during bipolar endoprosthesis in a patient with long-term levodopa-treated paralysis agitans.
10.3346/jkms.1995.10.1.31
- Author:
Yong Chul KIM
1
;
Moon Seong CHO
;
Sung Soon KIM
;
Soo Yeong KIM
;
Yoon Geun LEE
;
Tae Hwan KIM
;
Sung Ryang JUNG
Author Information
1. Department of Anesthesiology, College of Medicine, Dongguk University, Pohang, Korea.
- Publication Type:Case Reports
- MeSH:
Aged;
Case Report;
Hip Prosthesis/adverse effects;
Human;
Hypotension/*etiology;
Levodopa/therapeutic use;
Male;
Methylmethacrylate;
Methylmethacrylates/*adverse effects;
Parkinson Disease/*drug therapy
- From:Journal of Korean Medical Science
1995;10(1):31-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
Insertion of methyl methacrylate polymer into newly reamed bony cavities has sometimes resulted in profound hypotension, cardiac arrest, or sudden death which are more common in patients with hemodynamic instability or hypovolemia. In paralysis agitans(Parkinson's disease), dramatic worsening of the disease often occurs when another illness or trauma accompanies it. And it is possible that chronic medication with levodopa can cause the loss of ability to support blood pressure. So, it involves some risk to use methyl methacrylate in chronic levodopa-treated paralysis agitans. We present a case of paralysis agitans who demonstrated profound hypotension immediately following insertion of methyl methacrylate polymer in spite of normovolemia and proper anesthetic management.
