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僵人综合征合并子宫内膜癌患者机器人手术的麻醉管理:一例报告

Anesthetic management of a patient with Stiff-Person Syndrome and endometrial cancer for robotic surgery: A case report.

作者信息

Yeoh Cindy B, Lee Kathleen J, Tollinche Luis E

机构信息

Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065.

Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263.

出版信息

Int J Clin Case Rep Rev. 2020;3(1). Epub 2020 Jul 31.

PMID:32832932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7440041/
Abstract

Stiff-person syndrome (SPS) is a rare disorder of the nervous system, characterized by muscle stiffness, rigidity, and painful spasms involving truncal and limb musculature that may severely limit mobility. Our case documents a 53-year-old patient with SPS and endometrial cancer who was positive for anti-GAD and paraneoplastic antibodies, who presented to our institution for robotic surgery. These patients are at high risk for prolonged hypotonia and mechanical ventilation. Our patient underwent general anesthesia without complications despite multiple comorbidities.

摘要

僵人综合征(SPS)是一种罕见的神经系统疾病,其特征为肌肉僵硬、强直以及涉及躯干和肢体肌肉组织的疼痛性痉挛,这可能会严重限制活动能力。我们的病例记录了一名53岁患有SPS和子宫内膜癌的患者,其抗谷氨酸脱羧酶抗体和副肿瘤抗体呈阳性,该患者到我们机构接受机器人手术。这些患者有发生长时间肌张力减退和机械通气的高风险。尽管有多种合并症,我们的患者仍顺利接受了全身麻醉,未出现并发症。

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Dexmedetomidine for Improved Quality of Emergence From General Anesthesia: A Dose-Finding Study.右美托咪定改善全身麻醉苏醒质量的剂量探索研究。
Anesth Analg. 2019 Dec;129(6):1504-1511. doi: 10.1213/ANE.0000000000002763.
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SPS: Understanding the complexity.SPS:理解复杂性。
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Dexmedetomidine for the prevention of emergence delirium and postoperative behavioral changes in pediatric patients with sevoflurane anesthesia: a double-blind, randomized trial.右美托咪定预防小儿七氟醚麻醉苏醒期谵妄及术后行为改变:一项双盲随机试验
Drug Des Devel Ther. 2019 Mar 15;13:897-905. doi: 10.2147/DDDT.S196075. eCollection 2019.
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Quantitative clinical and autoimmune assessments in stiff person syndrome: evidence for a progressive disorder.僵人综合征的定量临床和自身免疫评估:一种进行性疾病的证据
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Dexmedetomidine for the reduction of emergence delirium in children undergoing tonsillectomy with propofol anesthesia: A double-blind, randomized study.右美托咪定用于减少接受丙泊酚麻醉的扁桃体切除术儿童的苏醒期谵妄:一项双盲随机研究。
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GAD65 neurological autoimmunity.谷氨酸脱羧酶65神经自身免疫性
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Effects of intraoperative dexmedetomidine with intravenous anesthesia on postoperative emergence agitation/delirium in pediatric patients undergoing tonsillectomy with or without adenoidectomy: A CONSORT-prospective, randomized, controlled clinical trial.术中右美托咪定复合静脉麻醉对行扁桃体切除术(伴或不伴腺样体切除术)的小儿患者术后苏醒期躁动/谵妄的影响:一项遵循CONSORT标准的前瞻性随机对照临床试验。
Medicine (Baltimore). 2016 Dec;95(49):e5566. doi: 10.1097/MD.0000000000005566.
8
Selective IgA Deficiency: Epidemiology, Pathogenesis, Clinical Phenotype, Diagnosis, Prognosis and Management.选择性IgA缺乏症:流行病学、发病机制、临床表型、诊断、预后及管理
Scand J Immunol. 2017 Jan;85(1):3-12. doi: 10.1111/sji.12499.
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Anti-glutamic acid decarboxylase antibody positive neurological syndromes.抗谷氨酸脱羧酶抗体阳性神经系统综合征
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