Neuromyelitis optica: An anesthetic challenge

Autor: Kalyani Manasa Rapeti, Bharat Paliwal, Ankur Sharma, Manoj Kamal, Pradeep Bhatia
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: The Indian Anaesthetists' Forum, Vol 22, Iss 1, Pp 94-96 (2021)
Druh dokumentu: article
ISSN: 0973-0311
DOI: 10.4103/TheIAForum.TheIAForum_135_20
Popis: Neuromyelitis optica (NMO), a rare devastating demyelinating syndrome involving optic neuritis and myelitis, poses a challenge to anesthesiologists. Here, we present the anesthetic management of a diagnosed case of NMO posted for total hip replacement. Although literature documenting adverse outcomes with both general anesthesia (GA) and spinal anesthesia (SA), more so with SA, it should always be considered if benefits outweigh the risk of GA. An uneventful perioperative period in the previous two surgeries favored SA as an anesthetic technique for consecutively third time in this case with smooth recovery.
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