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Korean J Anesthesiol. 2007 Dec;53(6):803-805. Korean. Case Report.
Choi YH , Gwak M , Lee YK , Lee YM , Lee DH .
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan Colleage of Medicine, Seoul, Korea.

Spinal muscular atrophy (SMA) is a rare lower motor neuron disease in which anesthetic management is often difficult, because the patients usually have muscle weakness and hypersensitivity to muscle relaxants. We describe the anesthesia for a 8 year-old girl with type II SMA who presented for a lower lid epiblepharon repair. We chose to use intravenous anesthesia based on propofol and remifentanil without any muscle relaxants. The peri-operative course was completely uneventful. We consider that intravenous anesthesia without muscle relaxants could be a good anesthetic choice for a patient with SMA undering general anesthesia.

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