title: [Epidural anesthesia for femoral head replacement in a spinocerebellar ataxia patient: a case report].
abstract: Perioperative management of a spinocerebellar ataxia patient by epidural anesthesia is reported. A 67-year-old woman with left femur neck fracture underwent femoral head replacement. An epidural catheter was placed without difficulty at the L3-4 interspace using the loss of resistance technique. A total of 1% mepivacaine 13 ml was administered in divided doses to obtain bilateral T5 analgesic level. Hypotension (79 mmHg systolic) was observed transiently, and ephedrine 8 mg was administered which successfully elevated blood pressure. Overall, hemodynamics and respiratory status were stable. Postoperative analgesia was maintained by infusion of 0.2% ropivacaine at 2 ml x hr(-1). The patient's postoperative course was uneventful, and her neurologic conditions remained unchanged.
authors.affiliation: Department of Anesthesiology, Saiseikai Futsukaichi Hospital, Chikushino 818-8516.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Maeda
authors.forename: Jin
authors.initials: J
authors.lastname: Yamakawa
authors.forename: Yoko
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Keiko
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Shiho
authors.initials: S
authors.lastname: Katsuki
authors.forename: Yoshikado
authors.initials: Y
authors.lastname: Miyagawa
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural / Q000379:methods*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D020754:Spinocerebellar Ataxias / Q000150:complications*