Epidural anesthesia for the patient with type IV spinal muscular atrophy: A case report.
10.4097/kjae.2010.59.S.S65
- Author:
Seon Jin KIM
1
;
Eun Ju KIM
;
Byung Woo MIN
;
Jong Seouk BAN
;
Sang Gon LEE
;
Ji Hyang LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea. kej1127@fatima.or.kr
- Publication Type:Case Report
- Keywords:
Epidural anesthesia;
Spinal muscular atrophy
- MeSH:
Anesthesia, Epidural;
Humans;
Hyperkalemia;
Hypersensitivity;
Intubation;
Middle Aged;
Motor Neurons;
Muscle Weakness;
Muscles;
Muscular Atrophy, Spinal;
Neurologic Manifestations;
Neuromuscular Blockade;
Succinylcholine
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S65-S68
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal muscular atrophy (SMA) is a rare lower motor neurone disease in which anesthetic management is often difficult as a result of muscle weakness, hypersensitivity to non-depolarizing neuromuscular blocking agent, and succinylcholine induced hyperkalemia. We describe a 50-year-old patient with type IV SMA for synovectomy. We decided to use an epidural technique to avoid muscle relaxants and tracheal intubation. After operation, there was no exacerbation of neurologic signs and symptoms.
