Korean J Anesthesiol.  2008 Jul;55(1):124-127. 10.4097/kjae.2008.55.1.124.

General anesthesia for laparoscopic cholecystectomy in a patient with Kennedy's disease: A case report

• Kim JH
• Hwang JW
• So YM
• Ryu JH
• Jeon YT
• Do SH

• KMID: 1782534
• DOI: http://doi.org/10.4097/kjae.2008.55.1.124

Abstract

Kennedy's disease is a rare lower motor neuron disease affecting the limbs and bulbar musculature. Regional anesthesia is generally the recommended anesthetic technique in patients with Kennedy's disease because of bulbar involvement and airway clearing disturbance. We administered general anesthesia in a patient with Kennedy's disease who was undergoing a laparoscopic cholecystectomy. We closely monitored the degree of neuromuscular blockade throughout the operation and injected atracurium on demand. There was no exacerbation of neurologic signs or symptoms postoperatively. Therefore, we report the successful administration of general anesthesia for laparoscopic cholecystectomy in a patient with Kennedy's disease.

Keyword

general anesthesia; Kennedy's disease; laparoscopic cholecystectomy; lower motor neuron disease

MeSH Terms

Anesthesia
Anesthesia, Conduction
Anesthesia, General
Atracurium
Cholecystectomy, Laparoscopic
Extremities
Humans
Motor Neuron Disease
Neurologic Manifestations
Neuromuscular Blockade
Atracurium