Korean J Anesthesiol.  2006 Jun;50(6):714-717. 10.4097/kjae.2006.50.6.714.

A Case Report of Spinal Anesthesia for a Patient with the Shy-Drager Syndrome: A case report

• Kang WS
• Lee JR
• Kim KT
• Choi WJ
• Lee SI
• Kim JW

• KMID: 1862250
• DOI: http://doi.org/10.4097/kjae.2006.50.6.714

Abstract

Shy-Drager syndrome (SDS) is a chronic progressive disease with central autonomic nervous system defect, Parkinsonism, and cerebellar defect. The clinical maifestations of this syndrome are orthostatic hypotension, urinary and bowel dysfunction, impaired sexual potency, impaired libido, decreased sweating, ataxia, dysarthria, intension tremor, and vocal cord palsy. Anesthesiologists should consider SDS as having major implications during surgery when choosing the anesthetic technique, monitoring, and postoperative care because it causes loss of autonomic regulation of vascular tone. We report a successful spinal anesthesia for left salphingo-oophorectomy in a female patient with Shy-Drager syndrome.

Keyword

autonomic dysfunction; shy-drager syndrome; spinal anesthesia

MeSH Terms

Anesthesia, Spinal*
Ataxia
Autonomic Nervous System
Dysarthria
Female
Humans
Hypotension, Orthostatic
Libido
Parkinsonian Disorders
Postoperative Care
Shy-Drager Syndrome*
Sweat
Sweating
Tremor
Vocal Cord Paralysis