| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
脳深部刺激療法を留置したパーキンソン病患者の脊髄くも膜下麻酔中にウエアリングオフ様症状と自律神経反射亢進症状を合併した1症例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
A Case of a Combination of Wearing-Off-Like Symptoms and Autonomic Hyperreflexia Following Spinal Anesthesia for a Patient with Parkinson’s Disease Who is Treated by Deep Brain Stimulation |
|
言語 |
en |
| 作成者 |
田嶋, 実
柳谷, 忠雄
松浪, 勝昭
近藤, 洋司
笹田, 将吾
彌久末, 智子
永島, 健太
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| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
パーキンソン病 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
脳深部刺激療法 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
脊髄幹麻酔 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
合併症 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Parkinson’s disease |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Deep brain stimulation |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
neuraxial analgesia |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
complications |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
Deep brain stimulator (DBS) has been widely performed for various medically refractory movement disorders. We report a 70’s male patients with Parkinson’s disease (PD) treated by DBS in addition to anti-parkinsonian drugs who underwent transurethral lithotomy under spinal anesthesia twice. We canceled his usual medications for PD, therefore, his blood pressure was higher than usual. His DBS was turned off in the operation room before induction of anesthesia. Both anesthesia techniques for TUL surgeries were completed by spinal anesthesia used by 0.5% hyperbaric bupivacine. Immediately after spinal anesthesia in both surgeries, severe rigidity, airway obstruction and conscious change emerged. These complications were suspected wearing-off-likes symptoms of PD, which were proved because of spinal anesthesia itself and/or DBS off effects. Autonomic hyperreflexia with severe hypertension, abnormal sweating and excessive oral secretion was gradually appeared after infusion of normal saline to obtain surgical fields of view, however, these symptoms disappeared after the end of infusion. It was suspected that the adverse events were due to low effects of spinal anesthesia on autonomic nervous system degenerated by Parkinson’s disease. We turned on DBS immediately after the completion of surgeries, and resumed his oral medications on the next day of surgeries. There were no events in his courses. As there is little information and no standard anesthetic guidelines available on patients with DBS implant who are present for surgery, a careful management is needed to avoid complications. |
|
言語 |
en |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
本稿の要旨は日本麻酔科学会 中国・四国支部第55回学術集会（松山市，2018年）で発表した。 |
| 出版者 |
|
|
出版者 |
広島麻酔医学会 |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0385-1664 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00232251 |
| 開始ページ |
|
|
開始ページ |
39 |
| 書誌情報 |
麻酔と蘇生
Ansesthesia and Resuscitation
巻 55,
号 1,
p. 39-43,
発行日 2019-03-01
|
| 見出し |
|
|
大見出し |
臨床研究 |
|
言語 |
ja |
| 見出し |
|
|
大見出し |
臨床研究 |
|
言語 |
en |
| 旧ID |
47563 |
AnesthResus_55-1_39.pdf (1.8 MB)
