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18.97.14.82
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다계통 위축증 환자에서의 전신마취
General Anesthesia in Patient Suffering Multiple System Atrophy
김민경 ( Min Kyoung Kim ) , 백종화 ( Chong Wha Baek ) , 강현 ( Hyun Kang ) , 윤일재 ( Il Jae Yoon ) , 오종인 ( Jong In Oh ) , 박용희 ( Yong Hee Park ) , 정용훈 ( Yong Hun Jung )
UCI I410-ECN-0102-2016-510-000791091
This article is 4 pages or less.

Mutiple system atrophy (MSA) is a rare, progressive neurodegenerative disorder. The most characteristic clinical feature of MSA is autonomic dysfunction. Therefore, there may be difficulty in maintaining cardiovascular stability during general anesthesia. A 54-yr-old woman was scheduled for ureteroscopic and renoscopic laser lithotripsy because of multiple renal pelvis and upper ureteral stone. Four years ago, she was diagnosed with MSA presenting with hand tremor, orthostatic hypotension, cerebellar ataxia, and slight dysarthria. This patient had to use phenylephrine to maintain blood pressure during anesthesia. We report our experience of general anesthesia in this patient with reviewing on anesthetic management in MSA patient.

[자료제공 : 네이버학술정보]
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