Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S65-8. doi: 10.4097/kjae.2010.59.S.S65. Epub 2010 Dec 31.
Spinal muscular atrophy (SMA) is a rare lower motor neurone disease in which anesthetic management is often difficult as a result of muscle weakness, hypersensitivity to non-depolarizing neuromuscular blocking agent, and succinylcholine induced hyperkalemia. We describe a 50-year-old patient with type IV SMA for synovectomy. We decided to use an epidural technique to avoid muscle relaxants and tracheal intubation. After operation, there was no exacerbation of neurologic signs and symptoms.
脊髓性肌萎缩症（SMA）是一种罕见的下运动神经元疾病，由于肌肉无力、对非去极化神经肌肉阻滞剂的高敏性以及琥珀胆碱引起的高钾血症，其麻醉管理常常较为困难。我们描述了一位 50 岁患有 IV 型 SMA 的患者进行滑膜切除术的情况。我们决定使用硬膜外技术来避免使用肌肉松弛剂和气管插管。手术后，神经体征和症状没有加重。
