Previously Undiagnosed Spinal and Bulbar Muscular Atrophy as a Cause of Airway Obstruction after Robot-Assisted Laparoscopic Prostatectomy
Joint Authors
Niki, Miyuki
Tachikawa, Taihei
Sano, Yuka
Miyawaki, Hiroki
Matoi, Aisa
Okano, Yukari
Kariya, Nobutaka
Tatara, Tsuneo
Hirose, Munetaka
Source
Case Reports in Anesthesiology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Preoperative vocal cord paralysis is a risk factor for postoperative respiratory distress following extubation after general anesthesia.
We present an unusual case where a geriatric patient developed airway obstruction after robot-assisted laparoscopic prostatectomy.
Case Presentation.
A 67-year-old male, who had suffered from left vocal cord paralysis of unknown etiology, was scheduled for robot-assisted laparoscopic prostatectomy (RALP).
General anesthesia was performed without any problems.
The patient, however, developed airway obstruction one hour after extubation and was reintubated following commencement of mechanical ventilation for one day.
At the age of 70 years, the patient received an emergency tracheostomy due to bilateral vocal cord paralysis and then was diagnosed with spinal and bulbar muscular atrophy (SBMA).
Although no muscle weakness of either upper or lower extremities was observed, rocuronium showed hypersensitivity during total laryngectomy under general anesthesia.
Conclusions.
Vocal cord paralysis combined with postoperative laryngeal edema, the cause of which was presumed to be SBMA, likely caused airway obstruction after RALP.
As neuromuscular symptoms progress gradually in patients with SBMA, muscle relaxants should be used carefully, even if patients with SBMA present no immobility of their extremities.
American Psychological Association (APA)
Niki, Miyuki& Tachikawa, Taihei& Sano, Yuka& Miyawaki, Hiroki& Matoi, Aisa& Okano, Yukari…[et al.]. 2017. Previously Undiagnosed Spinal and Bulbar Muscular Atrophy as a Cause of Airway Obstruction after Robot-Assisted Laparoscopic Prostatectomy. Case Reports in Anesthesiology،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143855
Modern Language Association (MLA)
Niki, Miyuki…[et al.]. Previously Undiagnosed Spinal and Bulbar Muscular Atrophy as a Cause of Airway Obstruction after Robot-Assisted Laparoscopic Prostatectomy. Case Reports in Anesthesiology No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1143855
American Medical Association (AMA)
Niki, Miyuki& Tachikawa, Taihei& Sano, Yuka& Miyawaki, Hiroki& Matoi, Aisa& Okano, Yukari…[et al.]. Previously Undiagnosed Spinal and Bulbar Muscular Atrophy as a Cause of Airway Obstruction after Robot-Assisted Laparoscopic Prostatectomy. Case Reports in Anesthesiology. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1143855
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143855