Anesthetic management of a patient with stiff person syndrome

被引：11

作者：

Elkassabany, Nabil ^{[1
]}

Tetzlaff, John E. ^{[1
]}

Argalious, Maged ^{[1
]}

机构：

[1] Cleveland Clin Fdn, Dept Gen Anesthesiol & Crit Care Med, Cleveland, OH 44195 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2006年 / 18卷 / 03期

关键词：

regional anesthesia; stiff person syndrome; paravertebral block;

D O I：

10.1016/j.jclinane.2005.06.009

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We describe the successful anesthetic management of a patient with stiff-person syndrome (SPS) undergoing a right inguinal hernia repair, using a somatic paravertebral block supplemented with conscious sedation. We also present the implications of general anesthesia in patients with SPS. The use of regional anesthetic techniques in patients with SPS has the advantage of avoiding exposure to muscle relaxants. The use of general anesthesia in patients with SPS carries the risk of postoperative hypotonia due to enhancement of gamma-aminobutyric acid action on synaptic transmission by drugs that have a gamma-aminobutyric acid agonistic action. (C) 2006 Elsevier Inc. All rights reserved.

引用

页码：218 / 220

页数：3

共 13 条

[1] Stiff person syndrome and anesthesia: Case report [J].

Bouw, J ;

Leendertse, K ;

Tijssen, MAJ ;

Dzoljic, M .

ANESTHESIA AND ANALGESIA, 2003, 97 (02) :486-487

[2] NEUROMUSCULAR BLOCKADE IN A PATIENT WITH STIFF-BABY SYNDROME [J].

COOK, WP ;

KAPLAN, RF .

ANESTHESIOLOGY, 1986, 65 (05) :525-528

[3] The clinical spectrum of anti-GAD antibody-positive patients with stiff-person syndrome [J].

Dalakas, MC ;

Fujii, M ;

Li, M ;

McElroy, B .

NEUROLOGY, 2000, 55 (10) :1531-1535

[4] DELAYED AROUSAL AFTER GENERAL-ANESTHESIA ASSOCIATED WITH BACLOFEN [J].

GOMAR, C ;

CARRERO, EJ .

ANESTHESIOLOGY, 1994, 81 (05) :1306-1307

[5] Anaesthesia for Stiff-Person syndrome [J].

Haslam, N ;

Price, K .

ANAESTHESIA, 2002, 57 (03) :298-299

[6] ANESTHETIC IMPLICATIONS IN STIFF-PERSON SYNDROME [J].

JOHNSON, JO ;

MILLER, KA .

ANESTHESIA AND ANALGESIA, 1995, 80 (03) :612-613

[7]

Layzer R B, 1988, N Engl J Med, V318, P1060, DOI 10.1056/NEJM198804213181610

[8]

Levy Lucien M., 1999, Annals of Internal Medicine, V131, P522

[9] STIFF-MAN SYNDROME UPDATED [J].

LORISH, TR ;

THORSTEINSSON, G ;

HOWARD, FM .

MAYO CLINIC PROCEEDINGS, 1989, 64 (06) :629-636

[10] Train of four fade in a child with stiff baby syndrome [J].

Murphy, C ;

Shorten, G .

PAEDIATRIC ANAESTHESIA, 2000, 10 (05) :567-569

← 1 2 →