| Intravenous Anesthesia in Spinal Muscular Atrophy: A case report. |
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Yun Hee Choi, Mijeung Gwak, Yoon Kyung Lee, Yu Mi Lee, Dong Ho Lee |
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Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan Colleage of Medicine, Seoul, Korea. mjgwak@amc.seoul.kr |
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| Abstract |
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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. |
| Key Words:
intravenous anesthesia; muscle relaxants; spinal muscular atrophy |
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