Intravenous Anesthesia in Spinal Muscular Atrophy: A case report.
10.4097/kjae.2007.53.6.803
- Author:
Yun Hee CHOI
1
;
Mijeung GWAK
;
Yoon Kyung LEE
;
Yu Mi LEE
;
Dong Ho LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan Colleage of Medicine, Seoul, Korea. mjgwak@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
intravenous anesthesia;
muscle relaxants;
spinal muscular atrophy
- MeSH:
Anesthesia;
Anesthesia, General;
Anesthesia, Intravenous*;
Child;
Female;
Humans;
Hypersensitivity;
Motor Neuron Disease;
Muscle Weakness;
Muscular Atrophy, Spinal*;
Propofol
- From:Korean Journal of Anesthesiology
2007;53(6):803-805
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal muscular atrophy (SMA) is a rare lower motor neuron disease in which anesthetic management is often difficult, because the patients usually have muscle weakness and hypersensitivity to muscle relaxants. We describe the anesthesia for a 8 year-old girl with type II SMA who presented for a lower lid epiblepharon repair. We chose to use intravenous anesthesia based on propofol and remifentanil without any muscle relaxants. The peri-operative course was completely uneventful. We consider that intravenous anesthesia without muscle relaxants could be a good anesthetic choice for a patient with SMA undering general anesthesia.