Case Report of Epidural Block for A Patient with The Shy - Drager Syndrome. |
Yoon Hee Kim, Seok Hwa Yoon, Jung Un Lee |
Department of Anesthesiology, College of Medicine, Chungnam National University, Taejon, Korea. |
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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. |
Key Words:
Shy-Drager syndrome; Autonomic failure; Epidural anesthesia |
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