Anaesthetic Management of a Patient with Parkinsonism Posted for Cataract Surgery: A Case Report
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 9, Issue 2
Abstract
Parkinson’s disease is degenerative disease of CNS caused by loss of dopaminergic fibres in basal ganglia of brain. Typical clinical features are secondary to depletion of dopamine from basal ganglia. There is increase in spontaneous movements, cog-wheel rigidity of extremities, rhythmic tremors at rest, seborrhoea, sialorrhoea, diaphragmatic spasm, oculogyric crisis, mental depression and bladder dysfunction. Autonomic dysfunction is common as manifest as oesophageal dysfunction (prone for aspiration) and orthostatic hypotension. L-dopa and Carbidopa combination is the most common available treatment for Parkinsonism. Postoperatively these patients may develop confusion. Therefore anaesthetic management is challenging.
Authors and Affiliations
Pramod Vasantrao Bhale , Selva Kumaran , Radhika Ruhatiya , Rashmee Joshi
Keywords
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