Harasawa I, Higa K, Watanabe R, Dan K
Department of Anesthesiology, School of Medicine, Fukuoka University.
Masui. 1994 Jul;43(7):1066-8.
Olivopontocerebellar atrophy (OPCA) is one of the spinocerebellar degenerative diseases. Reports of patients complicated with OPCA are scarce in anesthetic literature. We managed a 79-year-old woman with sialolithiasis of the left submandibular gland complicated with OPCA. She underwent a removal of the gland under general anesthesia using oxygen, nitrous oxide, and isoflurane (0.6-2.0%). Blood pressure decreased transiently after induction of anesthesia, but, no vasopressors were needed to maintain the blood pressure during the surgery. There were no untoward cardio-respiratory events after the surgery. Perioperative anesthetic management of patients with OPCA is also discussed.
橄榄体脑桥小脑萎缩(OPCA)是脊髓小脑退行性疾病之一。麻醉学文献中关于合并OPCA患者的报道很少。我们诊治了一名79岁患有左下颌下腺涎石病并合并OPCA的女性患者。她在全身麻醉下使用氧气、氧化亚氮和异氟烷(0.6 - 2.0%)进行了腺体切除手术。麻醉诱导后血压短暂下降,但手术过程中无需使用血管升压药来维持血压。术后未发生不良心肺事件。本文还讨论了OPCA患者的围手术期麻醉管理。