Sevoflurane anaesthesia for a patient with adult polyglucosan body disease View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1996-12

AUTHORS

Soichiro Inoue, Ryousuke Ishii, Hirokazu Fukuda, Kazuhiko Saitoh, Reiju Shimizu

ABSTRACT

PURPOSE: Adult polyglucosan body disease (APBD) is a rare neurological disorder of unknown cause characterized by four manifestations: upper motor neuron signs, peripheral neuropathy with motor and sensory loss, urinary incontinence, and dementia. The purpose of this report is to present a patient with APBD anaesthetized successfully with sevoflurane and nitrous oxide. CLINICAL FEATURE: A 51-yr-old man with APBD was scheduled for haemorrhoidectomy. Paraesthesia, dysaesthesia, distal muscular atrophy and fasciculation were recognized in the extremities. Dementia, bulbar paralysis and respiratory insufficiency were basent. Anaesthesia was induced with inhalation of sevoflurane and nitrous oxide, and the trachea was intubated without the use of muscle relaxants. Maintenance of anaesthesia was performed with sevoflurane (inspired concentration: 1.5-2.5%) and nitrous oxide (50%). Emergence from anaesthesia and the postoperative course were uneventful, and no exacerbation of neurological signs and symptoms was recognized. No postoperative analgesia was required. CONCLUSION: General anaesthesia and tracheal intubation with sevoflurane and nitrous oxide provided safe anaesthesia for a patient with APBD. More... »

PAGES

1257-1259

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03013436

DOI

http://dx.doi.org/10.1007/bf03013436

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1020604761

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8955978


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