[Anesthesia for a patient with olivopontocerebellar atrophy].
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.
Harasawa
I
I
Department of Anesthesiology, School of Medicine, Fukuoka University.
Higa
K
K
Watanabe
R
R
Dan
K
K
D000368:Aged; D000768:Anesthesia, General; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007530:Isoflurane; D009609:Nitrous Oxide; D009849:Olivopontocerebellar Atrophies / Q000150:complications*; D010100:Oxygen; D011182:Postoperative Care; D015494:Salivary Gland Calculi / Q000601:surgery; D013363:Submandibular Gland / Q000601:surgery
D007530:Isoflurane; D009609:Nitrous Oxide; D010100:Oxygen