Access count of this item: 5

Files in This Item:
File Description SizeFormat 
masui_64(6)_651.pdf2.91 MBAdobe PDFView/Open
Title: 多系統萎縮症患者における全身麻酔後両側声帯外転麻痺の1症例
Other Titles: Persistent bilateral vocal cord paralysis after general anesthesia in a patient with multiple system atrophy: A case report
Authors: 小西, 華子  KAKEN_name
溝田, 敏幸  kyouindb  KAKEN_id
福田, 和彦  KAKEN_name
Author's alias: KONISHI, Hanako
MIZOTA, Toshiyuki
FUKUDA, Kazuhiko
Keywords: 多系統萎縮症
multiple system atrophy
bilateral vocal cord abductor paralysis
upper airway obstruction
general anesthesia
Issue Date: Jun-2015
Publisher: 克誠堂出版 = Kokuseido Publishing Co. Ltd
Journal title: 麻酔 = Japanese Journal of Anesthesiology (Masui)
Volume: 64
Issue: 6
Start page: 651
End page: 654
Abstract: We report a case of persistent bilateral vocal cord paralysis which developed after spine surgery under general anesthesia in a patient with multiple system atrophy. A 64-year-old woman was scheduled to receive spinal fusion surgery for kyphoscoliosis. She did not have apparent symptoms of vocal cord paralysis such as hoarseness before surgery. The surgery was performed smoothly under general anesthesia with endotracheal intubation. However, immediately after extubation, the patient developed severe upper airway obstruction and was re-intubated. Fiberoptic laryngoscopy revealed bilateral vocal cord abductor paralysis. Vocal cord paralysis did not improve and she received tracheotomy on the 12th day after surgery. She also showed symptoms of autonomic nervous system dysfunction and cerebellar ataxia, and was diagnosed as multiple system atrophy on postoperative day 64. We discuss differential diagnosis of persistent vocal cord paralysis after general anesthesia, and anesthetic management of a patient with multiple system atrophy.
Rights: 発行元の許可を得て登録しています.
PubMed ID: 26437559
Appears in Collections:Journal Articles

Show full item record

Export to RefWorks

Export Format: 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.