肌萎缩侧索硬化症神经外科患者的麻醉管理：一例报告
Anesthetic Management of a Neurosurgical Patient With Amyotrophic Lateral Sclerosis: A Case Report.
作者信息
Kaur Bhanupreet, Samagh Navneh, Narang Amit, Paliwal Shashank
机构信息
Anesthesiology, Adesh Medical College, Bathinda, IND.
Anesthesiology, All India Institute of Medical Sciences, Bathinda, IND.
出版信息
Cureus. 2024 Jul 13;16(7):e64492. doi: 10.7759/cureus.64492. eCollection 2024 Jul.
Abstract
Amyotrophic lateral sclerosis (ALS) is a progressive form of neurological disorder that affects both the upper and lower motor neurons. Anesthesia management in these patients is always challenging as they can develop respiratory complications because of pre-existing muscle involvement. We report a middle-aged male with ALS posted for chronic subdural hematoma evacuation (CSDH) surgery. Surgery was done under scalp block with monitored anesthesia care. The choice of anesthesia in these patients should be one that interferes the least with the disease pattern while still providing optimal conditions for surgery.
摘要
肌萎缩侧索硬化症（ALS）是一种进行性神经疾病，会影响上下运动神经元。对这些患者进行麻醉管理一直具有挑战性，因为他们由于先前存在的肌肉受累情况可能会出现呼吸并发症。我们报告了一名患有ALS的中年男性，计划进行慢性硬膜下血肿清除术（CSDH）。手术在头皮阻滞和麻醉监测下进行。对于这些患者，麻醉的选择应是对疾病模式干扰最小，同时仍能为手术提供最佳条件的那种。
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