| English |
|---|
| Title | Shy-Drager Syndrome Operated under Epidural Anesthesia |
|---|
| Subtitle | |
|---|
| Authors | Ryu Okutani*, Taeko Fukuda**, Kazuhide Fu*, Shigeo Maeda** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Anesthesiology,Hyogo Prefectural Nishinomiya Hospital, **Department of Anesthesiology,Hyogo College of Medicine |
|---|
| Journal | Circulation Control |
|---|
| Volume | 15 |
|---|
| Number | 2 |
|---|
| Page | 287-289 |
|---|
| Year/Month | 1994/ |
|---|
| Article | Report |
|---|
| Publisher | Japan Society of Circulation Control |
|---|
| Abstract | Shy-Drager syndrome (SDS) is a rare chronic progressive disease and a multiple system atrophy (MAS) which occurs in middle-aged men. This syndrome is characterized by antonomic nerve failure causing orthostatic hypotension, cerebellar disorder, extra-pyramidal symptoms and mental retardation1). A patient with SDS is susceptible to cardiovascular collapse during anesthesia and surgery due to the marked breakdown of autoregulation of autonomic nerve response. We report the preoperative examinations used for diagnosis of a SDS and anesthetic managements using epidural anesthesia for a SDS patient who underwent elective surgery. 「A Case Report」A 50-year-old man (weight, 70kg ; height, 165cm) was scheduled for elective surgery for repair of a left inguinal hernia. At the age of 40 years', he had undergone surgery for the repair of bilateral inguinal hernia under spinal anesthesia. At that time, he had not shown any symptoms of SDS, such as wide fluctuation in blood pressure depedent upon postural change, yawning, nausea, or increased sweating. |
|---|
| Practice | Basic medicine |
|---|
| Keywords | |
|---|