Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Dec;59 Suppl(Suppl):S65-8.
doi: 10.4097/kjae.2010.59.S.S65. Epub 2010 Dec 31.

Epidural anesthesia for the patient with type IV spinal muscular atrophy -A case report-

Seon Jin Kim  1 , Eun Ju Kim, Byung Woo Min, Jong Seouk Ban, Sang Gon Lee, Ji Hyang Lee
Affiliations

Epidural anesthesia for the patient with type IV spinal muscular atrophy -A case report-

Seon Jin Kim et al. Korean J Anesthesiol. 2010 Dec.

Abstract

Spinal muscular atrophy (SMA) is a rare lower motor neurone disease in which anesthetic management is often difficult as a result of muscle weakness, hypersensitivity to non-depolarizing neuromuscular blocking agent, and succinylcholine induced hyperkalemia. We describe a 50-year-old patient with type IV SMA for synovectomy. We decided to use an epidural technique to avoid muscle relaxants and tracheal intubation. After operation, there was no exacerbation of neurologic signs and symptoms.

Keywords: Epidural anesthesia; Spinal muscular atrophy.

PubMed Disclaimer

References

    1. Tsao B, Stojic A. Spinal muscular atrophy. [Article last updated: Jan 14, 2009]. Available from http://www.emedicine.com/neuro/topic631.htm.
    1. Lefebvre S, Burglen L, Reboullet S, Clermont O, Burlet P, Viollet L, et al. Identification and characterization of a spinal muscular atrophy-determining gene. Cell. 1995;80:155–165. - PubMed
    1. Sung KH, Lee JM, Lee R. A case of spinal muscular atrophy with extensive involvement of sensory nerves. J Korean Child Neurol Soc. 2006;14:322–327.
    1. Pearn J. Classification of spinal muscular atrophies. Lancet. 1980;1:919–922. - PubMed
    1. Baum VC, O'Fleisher JE. Anesthesia for genetic, metabolic and dysmorphic syndrome of childhood. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, a Wolters Kluwer business; 2007. p. 206.

LinkOut - more resources