全麻治疗神经元核内包涵病1例报告。

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A&A Practice Pub Date : 2022-10-01 DOI:10.1213/XAA.0000000000001633

Michiko Kinoshita, Sarara Mutoh, Asuka Kasai, Ryosuke Kawanishi, Katsuya Tanaka

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引用次数: 0

摘要

神经元核内包涵病(NIID)是一种进行性神经退行性疾病，临床表现多样，包括痴呆和肌肉无力。我们总结了一名58岁男性膀胱功能障碍和小脑性共济失调被诊断为NIID的全身麻醉的麻醉注意事项。患者出现与自主神经病变相关的诱导后低血压。潜在的风险，如神经肌肉阻滞剂反应延长，术后谵妄，niid相关症状恶化，也被考虑在内。对麻醉药的反应可能因病例而异。随着NIID病例数量的增加，需要更好地了解NIID。

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General Anesthesia in a Patient With Neuronal Intranuclear Inclusion Disease: A Case Report.

Neuronal intranuclear inclusion disease (NIID) is a progressive neurodegenerative disease with diverse clinical manifestations, including dementia and muscle weakness. We summarize anesthetic considerations in reporting general anesthesia for a 58-year-old man with bladder dysfunction and cerebellar ataxia who was diagnosed with NIID. The patient developed postinduction hypotension relevant to autonomic neuropathy. The potential risks, such as prolonged reaction to neuromuscular blocking agent, postoperative delirium, and worsening of NIID-related symptoms, were also considered. The responsiveness to anesthetics may vary widely from case t case. As the number of NIID cases increases, a better understanding of NIID is needed.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.