PDF(Pubmed)
Abstract：
Amyotrophic lateral sclerosis (ALS) is a progressive form of neurological disorder that affects both the upper and lower motor neurons. Anesthesia management in these patients is always challenging as they can develop respiratory complications because of pre-existing muscle involvement. We report a middle-aged male with ALS posted for chronic subdural hematoma evacuation (CSDH) surgery. Surgery was done under scalp block with monitored anesthesia care. The choice of anesthesia in these patients should be one that interferes the least with the disease pattern while still providing optimal conditions for surgery.
摘要：
肌萎缩侧索硬化症（ALS）是一种进行性形式的神经系统疾病，影响上运动神经元和下运动神经元。这些患者的麻醉管理始终具有挑战性，因为由于预先存在的肌肉受累，他们可能会出现呼吸道并发症。我们报告了一名患有ALS的中年男性，因慢性硬膜下血肿清除术（CSDH）手术而住院。手术在头皮阻滞下进行，并进行麻醉监测。这些患者的麻醉选择应该是对疾病模式干扰最少的，同时仍为手术提供最佳条件。
