Korean J Anesthesiol.  1994 Dec;27(12):1814-1817. 10.4097/kjae.1994.27.12.1814.

Case Report of Epidural Block for A Patient with The Shy - Drager Syndrome

Affiliations
  • 1Department of Anesthesiology, College of Medicine, Chungnam National University, Taejon, Korea.

Abstract

The Shy-Drager syndrome is a very rare chronic progressive disease characterised by autonomic failure and multiple system atropy. The main clinical manifestations of this syndrome are orthostatic hypotension, urinary and bowel dysfunction, impaired sexual potency and parkinsonean symptoms. A key in the management of anesthesia is the maintenance of cardiovascular atability. These patient are suffered from defective baroreceptor regulation of the blood pressure as a result of autonomic failure. We report a successful epidural anesthesia for vwicolithotomy in a female patient with Shy-Drager syndrome.

Keyword

Shy-Drager syndrome; Autonomic failure; Epidural anesthesia

MeSH Terms

Anesthesia
Anesthesia, Epidural
Blood Pressure
Female
Humans
Hypotension, Orthostatic
Pressoreceptors
Shy-Drager Syndrome
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