Anesthetic Management of a Patient With Spasmodic Torticollis Treated With a Deep Brain Stimulator Implant Operated for Inguinal Hernia

Athanasia Tsaroucha, Titika Moschovou, Aikaterini Melemeni, Eriphili Argyra

Abstract


Spasmodic torticollis (ST) is the most frequent and familiar type of focal dystonia. Nowadays, deep brain stimulation (DBS) seems to be an effective treatment for ST and is considered a first-line therapy. Anesthesia in such patients requires special considerations, because of the characteristics of the disease as well as the respective treatment. We present the anesthetic management of a patient with ST treated with DBS. A 53-year-old man with idiopathic cervical dystonia treated with a deep brain stimulator device underwent an inguinal hernia correction under general anesthesia. A detailed preanesthesia evaluation was performed to assess any issues associated with the disease especially concerning the airway. A total intravenous anesthesia technique was planned. The device was turned off immediately after induction and turned on before emergency. The patient did not report any discomfort and the stimulator did not present any malfunction or interference with other devices. Anesthetic management of patients with ST treated with deep brain stimulator should focus on a careful preanesthesia evaluation regarding primarily the airway examination, a detailed planning of the anesthetic technique to be applied, and a correct handling of the DBS implanted as it can interfere with other monitoring and therapeutic devices, sometimes with severe consequences.




J Med Cases. 2016;7(9):376-378
doi: http://dx.doi.org/10.14740/jmc2588w


Keywords


Spasmodic torticollis; Deep brain stimulation; Anesthesia; Inguinal hernia

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org    elmer.editorial@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.