From the Department of Anesthesiology and Pain Medicine, School of Medicine, Urayasu Hospital, Juntendo University, Urayasu, Chiba, Japan.
A A Pract. 2024 Aug 13;18(8):e01840. doi: 10.1213/XAA.0000000000001840. eCollection 2024 Aug 1.
Parkinsonism-hyperpyrexia syndrome (PHS) is a rare, fatal complication of Parkinson's disease (PD) that manifests in patients who abruptly discontinue or reduce their antiParkinsonian medication. To the best of our knowledge, this is the first report of a PHS case occurring in a patient undergoing general anesthesia. In the perioperative period of PD patients, it is important for anesthesiologists to prevent PHS as well as monitor patients to enable early detection and prompt response when it occurs.
帕金森病-高热综合征(PHS)是帕金森病(PD)的一种罕见、致命的并发症,表现为突然停止或减少抗帕金森病药物的患者。据我们所知,这是首例在接受全身麻醉的患者中发生 PHS 的病例报告。在 PD 患者的围手术期,麻醉师不仅要预防 PHS,还要对患者进行监测,以便在发生时能及早发现并迅速做出反应。