PMID: 26790328Jan 23, 2016Paper

Anesthetic Management of a Patient with Multiple System Atrophy--A Case Report

Masui. The Japanese journal of anesthesiology
Eiki KanemaruNorikazu Miura

Abstract

There are only a few reports on anesthetic management for olivopontocerebellar atrophy (OPCA), a type of multiple system atrophy (MSA). We experienced anesthetic management for a surgical repair of cervical spondylotic myelopathy (CSM), a complication of OPCA. We used minimal doses of anesthetics, considering the specific perioperative complications of OPCA patients, such as hypotension, respiratory failure and prolonged effect of muscle relaxants. We were able to perform general anesthesia as safely as in patients without OPCA.

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