An Experience of General Anesthesia in a Case of Parkinson's Disease
Journal Title: Meandros Medical and Dental Journal - Year 2017, Vol 18, Issue 2
Abstract
Parkinson's disease (PD) is a neurodegenerative disease which is resulted from loss of dopaminergic neurones in the substantia nigra of the basal ganglia and is a characterized by the triad of resting tremor, muscle rigidity, and bradykinesia. PD is an important cause of perioperative morbidity and a major risk factor for postoperative complications in the elderly surgical patients. In these patients, the postoperative risks are determined with the presence of additional diseases, interaction of antiparkinsonian medication and anesthesic drugs. In the patients with PD, general anesthesia may mask neurological symptoms in the intraoperative period so the general anesthesia is preferred in these patients. Randomized clinical trials about the preference of anesthetic technique in the PD are not enough. Premedication, induction and continuation of anesthesia, and drugs for postoperative pain must not affect the dopamine senthesis. Treated for PD for 8 year at the age of 73, a female patient and with American Society of Anesthesiologists physical classification III (chronic kidney disease and chronic obstructive lung disease) was planned for undergoing operation of L4 fracture. In this case, we aimed to report a patient with PD who underwent general anesthesia. During the operation hemodynamic data was stable and the operation was successfully carried out without any complication.
Authors and Affiliations
Sinan Yılmaz, Murat Bakış, Ferdi Gülaştı
Keywords
Related Articles
- EP ID EP226556
- DOI 10.4274/meandros.1987
- Views 135
- Downloads 0
Very Late Onset "Trichotillomania": A Case Report
Trichotillomania is a chronic psychiatric disorder that repetitive hair pulling which leads to marked hair loss, negative effects on all areas of the person's functioning. Although trichotillomania has been known for man...
Confusion of Insulinoma’s Neuroglycopenic Symptoms with Epilepsy, Two Case Presentation and a Review of Literature
Insulinoma is a pancreatic endocrine tumour which origins from beta cells and characterized by excessive insulin secretion and hypoglycemia due to this. Symptoms seen in hypoglycemia are due to brain’s lack of glucose (n...
A Rare Cause of Empyema in Children: Streptococcus pyogenes
Empyema is the presence of purulent material in the pleural cavity, and it is a well-known and frequent complication of pneumonia in children. Despite the new antimicrobial treatment options and the different drainage te...
Fractal Analysis of Temporomandibular Joint Trabecular Bone Structure in Patients with Rheumatoid Arthritis on Cone Beam Computed Tomography Images
Objective: The aim of this study was to evaluate the fractal dimension (FD) analysis in the temporomandibular joint for changes in trabecular bone structure on cone beam computed tomography (CBCT) images of patients with...
Investigation of Tooth Extraction Reasons in Patients Who Applied to a Dental Faculty
Objective: This study was aimed to determine the reasons for extraction of permanent teeth in patients who applied to Necmettin Erbakan University Faculty of Dentistry in Turkey. Materials and Methods: A clinical survey...