Journal of Dental Anesthesia and Pain Medicine

  • 제19권4호
  • /
  • Pages.235-238
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  • 2019
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  • 2383-9309(pISSN)
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  • 2383-9317(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
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Anesthetic management in corticobasal degeneration with central sleep apnea: A case report

  • Shionoya, Yoshiki (Department of Dental Anesthesia, The Nippon Dental University Hospital) ;
  • Nakamura, Kiminari (Department of Dental Anesthesia, The Nippon Dental University Hospital) ;
  • Sunada, Katsuhisa (Department of Dental Anesthesiology, The Nippon Dental University School of Life Dentistry at Tokyo)
  • 투고 : 2019.06.21
  • 심사 : 2019.08.12
  • 발행 : 2019.08.30
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초록

Corticobasal degeneration (CBD) is a rare neurodegenerative disease characterized by dystonia, cognitive deficits, and an asymmetric akinetic-rigid syndrome. Little information is available regarding anesthetic management for CBD patients. Our patient was a 55-year-old man with CBD complicated by central sleep apnea (CSA). Due to the risk of perioperative breathing instability associated with anesthetic use, a laryngeal mask airway was used during anesthesia with propofol. Spontaneous respiration was stable under general anesthesia. However, respiratory depression occurred following surgery, necessitating insertion of a nasopharyngeal airway. Since no respiratory depression had occurred during maintenance of the airway using the laryngeal mask, we suspected an upper airway obstruction caused by displacement of the tongue due to residual propofol. Residual anesthetics may cause postoperative respiratory depression in patients with CBD. Therefore, continuous postoperative monitoring of $SpO_2$ and preparations to support postoperative ventilation are necessary.

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참고문헌

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