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masui_64(6)_651.pdf | 2.91 MB | Adobe PDF | 見る/開く |
タイトル: | 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 |
その他のタイトル: | Persistent bilateral vocal cord paralysis after general anesthesia in a patient with multiple system atrophy: A case report |
著者: | 小西, 華子 溝田, 敏幸 https://orcid.org/0000-0003-2770-4262 (unconfirmed) 福田, 和彦 |
著者名の別形: | KONISHI, Hanako MIZOTA, Toshiyuki FUKUDA, Kazuhiko |
キーワード: | 多系統萎縮症 両側声帯外転麻痺 上気道閉塞 全身麻酔 multiple system atrophy bilateral vocal cord abductor paralysis upper airway obstruction general anesthesia |
発行日: | Jun-2015 |
出版者: | 克誠堂出版 = Kokuseido Publishing Co. Ltd |
誌名: | 麻酔 |
巻: | 64 |
号: | 6 |
開始ページ: | 651 |
終了ページ: | 654 |
抄録: | 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. |
著作権等: | 発行元の許可を得て登録しています. |
URI: | http://hdl.handle.net/2433/243951 |
PubMed ID: | 26437559 |
出現コレクション: | 学術雑誌掲載論文等 |
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