Anesthetic management of spinal progressive muscle atrophy (SPMA)
Takeshita, K.; Sakai, K.; Saito, A.; Yoda, K.
Masui. Japanese Journal of Anesthesiology 38(4): 557-559
1989
ISSN/ISBN: 0021-4892 PMID: 2724522 Document Number: 341609
The patient with spinal progressive muscle atrophy (SPMA) has many anesthetic problems; muscle atrophy, respiratory complications, hypersensitivity to non-depolarizing muscle relaxants and succinylcholine-induced hyperkalemia. Although neurological complications following spinal and epidural anesthesia have been reported in various neurologic diseases, we chose epidural anesthesia for the patient with SPMA and experienced no problems during and after the operation. We conclude that epidural anesthesia is a useful technique for the patient with SPMA.