Oberholzer Julian, Fayolle Damien, Vandenbulcke Alberto, Gaudet John G
Department of Anesthesiology Centre Hospitalier Universitaire Vaudois Lausanne Switzerland.
Department of Neurology Hôpitaux Universitaires Genève Geneva Switzerland.
Clin Case Rep. 2024 Jul 11;12(7):e9147. doi: 10.1002/ccr3.9147. eCollection 2024 Jul.
We present the case of a 54-year-old male with severe Parkinson's disease and chronic, non-reversible pulmonary artery hypertension who had seizures and a cardiorespiratory arrest during surgery for deep brain stimulation, a minimally invasive procedure usually associated with a low risk of complications. This case illustrates how perioperative changes in antiparkinsonian therapy in patient with multiple comorbidities may significantly affect the risk profile.
我们报告了一例54岁男性患者,患有严重帕金森病和慢性、不可逆的肺动脉高压,在进行深部脑刺激手术(一种通常并发症风险较低的微创手术)期间发生癫痫发作和心肺骤停。该病例说明了合并多种疾病患者围手术期抗帕金森病治疗的变化如何显著影响风险状况。