Korean J Anesthesiol.  2009 Sep;57(3):361-363. 10.4097/kjae.2009.57.3.361.

Epidural anesthetic management of a patient with amyotrophic lateral sclerosis (ALS): A case report

• Kwon YS
• Lim YH
• Woo SH
• Yon JH
• Kim KM

• KMID: 2236508
• DOI: http://doi.org/10.4097/kjae.2009.57.3.361

Abstract

Amyotrophic lateral sclerosis (ALS) is a degenerative disease of motor ganglia in the anterior horn of spinal cord and spinal pyramidal tracts. The impairments of respiratory function and weakened upper airway muscle affect anesthetic management. General anesthesia may cause respiratory problem. Regional anesthesia such as spinal and epidural anesthesia is also relative contraindication for patients with a motor neuron disease, including ALS, for the fear of exacerbating the disease. Therefore patients with ALS are needed careful management during perioperative period. We report a case of epidural anesthesia for transurethral ureteroscopic lithotripsy in a patient with ALS. The patient recovered from anesthesia without exacerbating the disease.

Keyword

Amyotrophic lateral sclerosis; Epidural anesthesia; Regional anesthesia

MeSH Terms

Amyotrophic Lateral Sclerosis
Anesthesia
Anesthesia, Conduction
Anesthesia, Epidural
Anesthesia, General
Animals
Ganglia
Horns
Humans
Lithotripsy
Motor Neuron Disease
Muscles
Perioperative Period
Pyramidal Tracts
Spinal Cord