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Korean J Anesthesiol. 2009 Sep;57(3):361-363. Korean. Case Report.
Kwon YS , Lim YH , Woo SH , Yon JH , Kim KM .
Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University, College of Medicine Seoul, Korea.

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.

Copyright © 2019. Korean Association of Medical Journal Editors.