Koshizaki M, Kosaka Y
Department of Anesthesia, Tsushimi Hospital, Hagi.
Masui. 2000 Jun;49(6):671-2.
A 79-year-old woman with subacute myelo-optico-neuropathy (SMON) underwent a bilateral mastectomy for breast cancer. She has been suffering from SMON for 32 years. Her preoperative neurological examination revealed cryesthesia and dyskinesia in the lower extremity, and numbness in the crues. Physical examination revealed respiratory dysfunction. A combination of general anesthesia and epidural block was employed to minimize the dose of anesthetics which may affect the neuronal symptoms. Intraoperative course was uneventful and continuous epidural block was effective for postoperative pain control. There was no neurological deterioration postoperatively.
一名患有亚急性脊髓视神经病变（SMON）的79岁女性因乳腺癌接受了双侧乳房切除术。她患SMON已有32年。术前神经系统检查显示下肢冷觉减退和运动障碍，小腿麻木。体格检查发现呼吸功能障碍。采用全身麻醉和硬膜外阻滞相结合的方法，以尽量减少可能影响神经症状的麻醉剂剂量。术中过程顺利，持续硬膜外阻滞对术后疼痛控制有效。术后无神经功能恶化。
