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Use of epidural anaesthesia for surgery in a patient with Kennedy's disease
Authors:Okamoto E  Nitahara K  Yasumoto M  Higa K
Affiliation:Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka, Japan
Abstract:Use of neuraxial block in a patient with motor neuron diseaseis controversial. We describe the anaesthetic management byepidural anaesthesia of a patient with Kennedy’s disease,a rare lower motor neuron disease characterized by progressiveweakness and wasting of limbs and bulbar muscles. The perioperativecourse was uneventful, and there was no exacerbation of neurologicsigns or symptoms. We suggest that a patient with Kennedy’sdisease may be successfully managed by epidural anaesthesiafor surgical internal urethrotomy. Br J Anaesth 2004; 92: 432–3
Keywords:anaesthetic techniques, epidural   complications, genetic disease, X-linked   complications, Kennedy’  s disease   complications, motor neuron disease, lower
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