title: Anesthesia for deep brain stimulation in a patient with X-linked dystonia-parkinsonism/Lubag disease.
abstract: Lubag disease is a genetic X-linked dystonia-parkinsonism syndrome afflicting Filipino men. This disease is characterized by dystonia dominating the first 10-15 years of the disorder, which is associated with or replaced by parkinsonian features in later years of life. A 49-year-old man with Lubag disease underwent general anesthesia for deep brain stimulation (DBS) surgery. Anesthesia was maintained mainly with propofol, remifentanil, rocuronium bromide, and sevoflurane. During magnetic resonance imaging, the patient was anesthetized with midazolam, fentanyl, and rocuronium bromide. The surgery was completed safely using these anesthetic agents. After DBS, some symptoms including involuntary movement improved within 10 days.
authors.affiliation: Department of Anesthesiology, Tokushima University Hospital, Tokushima, Japan.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Ohshita
authors.forename: Katsuya
authors.initials: K
authors.lastname: Tanaka
authors.forename: Yoko
authors.initials: Y
authors.lastname: Sakai
authors.forename: Toshiko
authors.initials: T
authors.lastname: Katayama
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Tomiyama
authors.forename: Shuzo
authors.initials: S
authors.lastname: Ohsita
authors.forename: Yasuo M
authors.initials: YM
authors.lastname: Tsutsumi
mesh_terms: D000758:Anesthesia / Q000379:methods*; D046690:Deep Brain Stimulation; D020821:Dystonic Disorders / Q000628:therapy*; D040181:Genetic Diseases, X-Linked / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged