TY - JOUR TT - Anesthetic Management for a Patient with Multiple Sclerosis AU - Öztürk, Levent AU - Arslan, Mustafa AU - Öztürk, Emel PY - 2004 DA - March JF - Sağlık Bilimleri Dergisi JO - JHS PB - Erciyes Üniversitesi WT - DergiPark SN - 1018-3655 SP - 73 EP - 77 VL - 13 IS - 1 KW - Multıpl skleroz(MS) KW - epidural KW - propofol KW - remifentanil N2 - A 50-year-old woman with multiple sclerosis(MS) underwent hysterectomy. MS is characterized by chronic inflammation, demyelination, and gliosis in the central nervous system. Stress such as surgery, anesthesia, emotional distress and variable body temperature can exacerbate the disease. In this case, anesthesia was induced and maintained with propofol and remifentanil and bupivacaine was given intraoperatively and postoperatively from an epidural catheter. With this (epidural and IV general anesthesia)method, patient was discharged without complications and no new signs of disease were observed over the following days CR - 1. Frohman EM. Multiple sclerosis. Medic Clin North Am. 2003, 87 (4): 867-97 CR - 2. Yamashita K, Yokoyama T, Tokai H, et al. Anesthetic management for a patient with multiple sclerosis at exacerbation stage under general anesthesia. Masui. 2003,52(5):521-3 CR - 3. Matsuura T, Okawa I, Matsukawa T, Furuya A. Anesthetic managements of a patient with multiple sclerosis using propofol. Masui. 1998, 47(10):1237-9 CR - 4. Kytta J, Rosenberg PH. Anesthesia for patients with multiple sclerosis. Ann Chir Gynaecol. 1984,73(5):299-303 CR - 1. Matthews WB, Read DJ, Pountney E. Effect of raising body temperature on visual and somatosensory evoked potentials in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry. 1979,42(3):250-5 CR - 2. Bamford C, Sibley W, Laguna J. Anesthesia in multiple sclerosis. Can J Neurol Sci. 1978,5(1):41-4 CR - 3. Bader AM, Hunt CO, Datta S, Naulty JS, Ostheimer GW. Anesthesia for the obstetric patient with multiple sclerosis. J Clin Anesth. 1988,1(1):21-4 CR - 4. Kohno K, Uchida H, Yamamoto N, et. al. Sevoflurane anesthesia in a patient with multiple sclerosis. Masui. 1994,43(8):1229- 32 CR - 5. Peter A. Glass. Remifentanil: A new opioid. J Clin Anesthesia 1995,7:558-63 CR - 6. Sangay S. Patel: Remifentanil. Drugs 1996,52(3):417-27 UR - https://dergipark.org.tr/tr/pub/eujhs/issue//551655 L1 - https://dergipark.org.tr/tr/download/article-file/691838 ER -