Journals / Türk Anestezi ve Reanimasyon Dergisi / 2005 / Cilt: 33 - Sayı: 4

Anaesthetic management of a patient with multiple sclerosis (case report)

Multipl sklerozlu bir olguda anestezi uygulaması

Pages
342–345
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present a case report of a patient with MS undergoing bladder reconstruction highlighting anaesthetic consideration for patients with MS.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Multiple sclerosis (MS) is characterized by demyelination of different parts of the brain and spinal cord.
📊
Key Findings & Data:Stress such as a surgical procedure or general anaesthesia may be associated with an acute exacerbation of the disease.
💡
Conclusion & Impact:We present a case report of a patient with MS undergoing bladder reconstruction highlighting anaesthetic consideration for patients with MS.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Multiple sclerosis (MS) is characterized by demyelination of different parts of the brain and spinal cord. Stress such as a surgical procedure or general anaesthesia may be associated with an acute exacerbation of the disease. Perioperative hyperpyrexia has been suggested as a possible etiology of postoperative multiple sclerosis exacerbation. Medications used to treat MS (corticosteroids, baclofen, anticonvulsants, cyclophosphamide) may have anaesthetic implications. We present a case report of a patient with MS undergoing bladder reconstruction highlighting anaesthetic consideration for patients with MS.

Özet

Multipl skleroz (MS) beyin ve spinal kordun farklı bölümlerinin demiyelinizasyonu ile karakterize bir hastalıktır. Cerrahi girişim ya da genel anestezi gibi stres durumları hastalığın alevlenmesine yol açabilmektedir. Perioperatif hipertermi MS'li hastalardaki postoperatif alevlenmenin oluşmasındaki olası nedenlerden biridir. Tedavide kullanılan ajanlar (kortikosteroidler, baklofen, antikonvülzanlar, siklofosfamid) anestezi uygulamalarını etkileyebilir. Bu olgu sunumunda, mesane rekonstrüksiyonu için opere edilen multipl sklerozlu bir hastadaki anestezik yaklaşımı aktarmayı amaçladık.

🔖

Cite This Article

KAYACAN, N., KARSLI, B., ERTUĞRUL, F., ÇELİKBİLEK, G. (2022). Anaesthetic management of a patient with multiple sclerosis (case report). Türk Anestezi ve Reanimasyon Dergisi, Cilt: 33 - Sayı: 4, 342–345. https://ajindex.com/articles/620129

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Morgan GE, Mikhail SM. Çeviri Ed: Lüleci N, Klinik Anesteziyoloji, Nobel Tıp Kitabevleri 2002, 508-510
  2. Bader AM. Neurologic and neuromuscular disease in the obstetric patient. Anesthesiol Clin North America 1998; 16:459-476
  3. Ganta R, Campbell IT, Mostafa SM. Anaesthesia and acute dermatomyositis / polymyositis. Br J Anaesth 1988; 60:854-858
  4. Rolak LA. The diagnosis of multiple sclerosis. Neurol Clin 1996; 14:27-43
  5. Martz DG, Schreibman Dİ, Matjaska MJ. Anaesthe¬ sia and uncommon diseases, Ed 3. Philadelphia, WB Saun- ders Company 1990; 576-577
  6. Adams DC, Heyer EJ. Problems of anesthesia in pati¬ ents with neuromuscular disease. Anesthesiol Clin North America 1997; 15:674-690
  7. Dorotta RI, Schubert A. Multiple sclerosis and anest¬ hetic implications. Curr Opin Anaesthesiol 2002; 15:365- 370
  8. McDonald WI. The mystery of the origin of multiple sclerosis. J Neurol Neurosurg Psychiatry 1986; 49:113- 123
  9. Kohno K, Uchida H, Yamamoto N. Sevoflurane anest¬ hesia in a patient with multiple sclerosis. Masui 1994; 43:1229-1232
  10. Yamashita K, Yokoyama T, Tokai H. Anesthetic ma¬ nagement for a patient with multiple sclerosis exacerbation stage under general anesthesia. Masui 2003; 52:521-523
  11. Salo M, Pirttikangas CO, Pulkki K. Effects of propo- fol emulsion and thiopentone on T helper cell type-1/type- 2 balance in vitro. Anesthesia 1997; 52:341-344
  12. Markovic SN, Murasko DM. Inhibition of induction of natural killer in mice by general anestesia (Avertin): ro¬ le of inteferon. Clin Immunol Immunopathol 1991; 60:181-189
  13. Davis FA, Michael JA, Neer D. Serial hyperthermia testing in multiple sclerosis: a method for monitoring subc- linical fluctuations. Acta Neurol Scand 1973; 49:63-74
  14. Levesque P, Marsepoil T, Venutolo F, Lesouef JM. Multiple sclerosis disclosed by spinal anesthesia. Ann Fr AnesthReanim 1988; 7:68-70
  15. Warran T, Datta S. Lumbar epidural anesthesia in a patient with multiple sclerosis. Anest Analg 1982; 61:1022-1023.