title: Anesthesia in multiple sclerosis and obstructive sleep apnea: case report and literature review.
abstract: While patients with obstructive sleep apnea (OSA) or multiple sclerosis (MS) are at high risk of developing postoperative complications, both of them have special anesthetic considerations in intraoperative and postoperative periods. A careful preoperative evaluation, use of the optimal anesthetic regimen and close postoperative care is essential for these patients. Rarity of coexistence of both obstructive sleep apnea and multiple sclerosis in a surgical patient necessitates careful anesthetic management. We here report anesthetic management of a female patient with OSA and MS who underwent anesthesia three times for surgery and review the literature.
authors.affiliation: Associate Professor, Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital of The Ministry of Health, Ankara, Turkey.
authors.forename: Aysegul
authors.initials: A
authors.lastname: Ceyhan
authors.forename: Esra Turkyilmaz
authors.initials: ET
authors.lastname: Uyar
authors.forename: Isin Yazici
authors.initials: IY
authors.lastname: Gencay
authors.forename: Solmaz Eruyar
authors.initials: SE
authors.lastname: Gunal
references.citation: Chest. 1995 Feb;107(2):367-74
references.pmid: 7842763
references.citation: Obes Surg. 1995 Feb;5(1):18-21
references.pmid: 10733789
references.citation: Reg Anesth Pain Med. 2008 Sep-Oct;33(5):404-15
references.pmid: 18774509
references.citation: Anesthesiology. 2005 Jul;103(1):33-9
references.pmid: 15983454
references.citation: J Neurol Sci. 1995 Mar;129(1):1-8
references.pmid: 7751837
references.citation: JAMA. 1970 Sep 14;213(11):1867-71
references.pmid: 5468914
references.citation: Ann Chir Gynaecol. 1984;73(5):299-303
references.pmid: 6524864
references.citation: Obes Surg. 2000 Apr;10(2):154-9
references.pmid: 10782177
references.citation: J Clin Anesth. 2001 Mar;13(2):144-56
references.pmid: 11331179
references.citation: J Appl Physiol (1985). 2002 May;92(5):1779-80
references.pmid: 11960923
references.citation: Sleep Breath. 2006 Sep;10(3):161-5
references.pmid: 16783581
references.citation: Anesthesiology. 1987 Jun;66(6):837-9
references.pmid: 3592284
references.citation: Mayo Clin Proc. 2001 Sep;76(9):897-905
references.pmid: 11560300
references.citation: J Anesth. 2003;17(3):177-85
references.pmid: 12911205
references.citation: Ann Fr Anesth Reanim. 1988;7(1):68-70
references.pmid: 3348516
references.citation: Nat Rev Neurol. 2009 May;5(5):256-66
references.pmid: 19488083
references.citation: Laryngoscope. 1989 Nov;99(11):1125-9
references.pmid: 2530406
references.citation: Ann Intern Med. 2005 Feb 1;142(3):187-97
references.pmid: 15684207
references.citation: Can J Anaesth. 2003 Aug-Sep;50(7):672-8
references.pmid: 12944441
references.citation: Anesth Analg. 2006 Jul;103(1):223-8, table of contents
references.pmid: 16790657
references.citation: N Engl J Med. 1993 Apr 29;328(17):1230-5
references.pmid: 8464434
references.citation: Sleep Med Rev. 2009 Dec;13(6):437-44
references.pmid: 19596599
references.citation: Arch Neurol. 1992 Jun;49(6):641-3
references.pmid: 1596200
references.citation: Can J Anaesth. 2006 Apr;53(4):393-7
references.pmid: 16575040
references.citation: Can J Anaesth. 2005 May;52(5):493-7
references.pmid: 15872128
references.citation: Anesth Analg. 2004 Mar;98(3):825-7, table of contents
references.pmid: 14980945
references.citation: Anesth Analg. 1982 Dec;61(12):1022-3
references.pmid: 7149297
references.citation: Am Surg. 2008 Sep;74(9):834-8
references.pmid: 18807673
references.citation: J Neurol Sci. 1994 Sep;125(2):194-7
references.pmid: 7807167
references.citation: J Clin Neuromuscul Dis. 2008 Jun;9(4):385-96
references.pmid: 18525422
references.citation: Br J Anaesth. 2001 Feb;86(2):254-66
references.pmid: 11573670
references.citation: Br J Anaesth. 1996 Apr;76(4):552-9
references.pmid: 8652329
references.citation: Anesthesiology. 2008 May;108(5):812-21
references.pmid: 18431116
references.citation: Eur Neurol. 1994;34(6):320-3
references.pmid: 7851452
references.citation: Anesthesiology. 2008 Feb;108(2):325-8
references.pmid: 18212578
references.citation: Neurology. 1991 Mar;41(3):447-8
references.pmid: 2006018
references.citation: Br J Anaesth. 1998 May;80(5):606-11
references.pmid: 9691863
references.citation: Curr Opin Psychiatry. 2007 May;20(3):278-85
references.pmid: 17415083
references.citation: Anesth Analg. 1999 May;88(5):1083-4
references.pmid: 10320174
references.citation: Anesthesiology. 2006 May;104(5):1081-93; quiz 1117-8
references.pmid: 16645462
references.citation: Neurology. 1992 Nov;42(11):2088-93
references.pmid: 1331868
references.citation: Anesthesiology. 2008 Feb;108(2):186-8
references.pmid: 18212562
references.citation: Br J Anaesth. 2008 Oct;101(4):557-62
references.pmid: 18621986
references.citation: Sleep. 1997 Sep;20(9):705-6
references.pmid: 9406321
references.citation: Ann Intern Med. 1999 Oct 5;131(7):485-91
references.pmid: 10507956
references.citation: Curr Opin Neurol. 2001 Jun;14(3):271-8
references.pmid: 11371748