The journal of medical investigation : JMI · 2013
Anesthesia for deep brain stimulation in a patient with X-linked dystonia-parkinsonism/Lubag disease.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ohshita Naohiro, Tanaka Katsuya, Sakai Yoko, Katayama Toshiko, Tomiyama Yoshinobu, Ohsita Shuzo, Tsutsumi Yasuo M
Аннотация
Lubag disease is a genetic X-linked dystonia-parkinsonism syndrome afflicting Filipino men. This disease is characterized by dystonia dominating the first 10-15 years of the disorder, which is associated with or replaced by parkinsonian features in later years of life. A 49-year-old man with Lubag disease underwent general anesthesia for deep brain stimulation (DBS) surgery. Anesthesia was maintained mainly with propofol, remifentanil, rocuronium bromide, and sevoflurane. During magnetic resonance imaging, the patient was anesthetized with midazolam, fentanyl, and rocuronium bromide. The surgery was completed safely using these anesthetic agents. After DBS, some symptoms including involuntary movement improved within 10 days.