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- Title
Difficult intubation of a patient with progressive multifocal leukoencephalopathy and muscle spasticity - A case report -.
- Authors
Ji-Eun Kim; Young-Kwon Yang; Mi-Young Kwon; Mi-jung Yun; Gunn-Hee Kim
- Abstract
Progressive multifocal leukoencephalopathy (PML) is a demyelinating central nervous system disease characterized by neurological deficits, including cognitive impairment, altered mental status, and muscle spasticity. Preoperative evaluation and intraoperative airway management of the airway is difficult in patients with this disease. In this report, the authors describe a 62-year-old man with PML and spastic hemiparesis, who was scheduled for video-assisted thoracic bullectomy under general anesthesia. A preoperative airway evaluation, including Mallampati classification, could not be performed due to lack of patient cooperation. Additionally, the anesthesiologist did not perform diverse physical assessments of the airway or prepare an adequate airway management strategy. During induction of general anesthesia, difficulty with intubation was encountered because of limited mouth opening. This case emphasizes that anesthesiologists should have thorough knowledge of airway assessment and management strategies, and perform a comprehensive assessment to implement appropriate airway management in patients with this disease.
- Subjects
PROGRESSIVE multifocal leukoencephalopathy; SPASTICITY; INTUBATION; HEMIPARESIS; ANESTHESIA
- Publication
Anesthesia & Pain Medicine, 2018, Vol 13, Issue 2, p149
- ISSN
1975-5171
- Publication type
Article
- DOI
10.17085/apm.2018.13.2.149