Morimoto Takayuki, Ono Masaaki, Harada Yayoi, Ichinomiya Taiga, Higashijima Ushio, Hara Tetsuya
Department of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
JA Clin Rep. 2025 Feb 14;11(1):9. doi: 10.1186/s40981-025-00773-0.
Camptocormia, a postural deformity seen in Parkinson's disease (PD), complicates general anesthesia, especially airway management, owing to severe spinal flexion in advanced stages.
We report the anesthetic management of a 76-year-old man with PD who developed severe long-seated forward flexion with the face buried between the knees, from camptocormia and multiple spinal surgeries. Removal of the exposed spinal implants was necessary, and general anesthesia was planned. Anesthesia was administered in the right lateral position from induction to awakening. Video laryngoscopy enabled successful intubation, and remimazolam with flumazenil ensured good recovery without complications.
This case demonstrates the feasibility of managing the airway and administering anesthesia in the right lateral position in patients with PD with severe long-seated forward flexion. Video-laryngoscopy and remimazolam with flumazenil offer advantages in such cases, although further studies are required to validate their broader applications.
弯腰驼背是帕金森病（PD）中出现的一种姿势畸形，在疾病晚期会因严重的脊柱前屈而使全身麻醉复杂化，尤其是气道管理。
我们报告了一名76岁帕金森病男性患者的麻醉管理情况，该患者因弯腰驼背和多次脊柱手术导致严重的长期坐位前屈，面部埋于双膝之间。由于需要取出外露的脊柱植入物，遂计划实施全身麻醉。从诱导到苏醒，患者均处于右侧卧位接受麻醉。视频喉镜检查使气管插管成功完成，瑞马唑仑联合氟马西尼确保了良好的恢复且无并发症发生。
本病例证明了对于存在严重长期坐位前屈的帕金森病患者，在右侧卧位下进行气道管理和实施麻醉的可行性。视频喉镜检查以及瑞马唑仑联合氟马西尼在此类病例中具有优势，尽管还需要进一步研究以验证其更广泛的应用。
