Anesthesia in a patient with Stiff Person Syndrome

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dc.authoridHanci, Volkan/0000-0002-2227-194X
dc.contributor.authorYagan, Ozgur
dc.contributor.authorOzyilmaz, Kadir
dc.contributor.authorOzmaden, Ahmet
dc.contributor.authorSayin, Ozgur
dc.contributor.authorHanci, Volkan
dc.date.accessioned2025-01-27T20:43:51Z
dc.date.available2025-01-27T20:43:51Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractStiff Person Syndrome (SPS), typified by rigidity in muscles of the torso and extremities and painful episodic spasms, is a rare autoimmune-based neurological disease. Here we present the successful endotracheal intubation and application of TIVA without muscle relaxants on an SPS patient. A 46 years old male patient was operated with ASA-II physical status because of lumber vertebral compression fracture. After induction of anesthesia using lidocaine, propofol and remifentanil tracheal intubation was completed easily without neuromuscular blockage. Anesthesia was maintained with propofol, remifentanil and O-2/air mixture. After a problem-free intraoperative period the patient was extubated and seven days later was discharged walking with aid. Though the mechanism is not clear neuromuscular blockers and volatile anesthetics may cause prolonged hypotonia in patients with SPS. We think the TIVA technique, a general anesthetic practice which does not require neuromuscular blockage, is suitable for these patients. (C) 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. This is an open access article under the CC BY-NC-ND license.
dc.identifier.doi10.1016/j.bjane.2013.02.004
dc.identifier.endpage545
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue5
dc.identifier.pmid27591471
dc.identifier.scopus2-s2.0-84909606858
dc.identifier.scopusqualityN/A
dc.identifier.startpage543
dc.identifier.urihttps://doi.org/10.1016/j.bjane.2013.02.004
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24396
dc.identifier.volume66
dc.identifier.wosWOS:000385857400017
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofRevista Brasileira De Anestesiologia
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectAnesthesia
dc.subjectTotal intravenous anesthesia
dc.subjectStiff Person Syndrome
dc.titleAnesthesia in a patient with Stiff Person Syndrome
dc.title.alternativeAnestesia em paciente com síndrome da pessoa rígida
dc.typeArticle

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