Korean J Anesthesiol.  2002 Jan;42(1):125-128. 10.4097/kjae.2002.42.1.125.

An Anesthetic Management of a Patient with Parkinson's Disease Who Underwent Whipple's Operation by Enteral Levodopa Administration

• Kang WJ
• Oh JY
• Kim KS
• Kim DO
• Kim DS

• KMID: 2091676
• DOI: http://doi.org/10.4097/kjae.2002.42.1.125

Abstract

Parkinson's disease is a relatively common neurologic disorder that afflicts approximately 1% of the population over 50 years old. Many drugs currently used for the treatment of Parkinson's disease may interact with anesthetic drugs. Brief interruption of levodopa during surgery may result in exacerbation of Parkinson's symptoms. However, safe and effective way to administer levodopa during surgery are not widely known. We report the perioperative treatment of a patient with Parkinson's disease by using intraoperative administration of levodopa through nasogastric tube and feeding jejunostomy tube. This method of levodopa administration successfully prevented the exacerbation of Parkinsonian symptoms.

Keyword

Enteral levodopa; Parkinson's disease; Whipple's operation

MeSH Terms

Anesthetics
Humans
Jejunostomy
Levodopa*
Middle Aged
Nervous System Diseases
Parkinson Disease*
Anesthetics
Levodopa