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BJA Advance Access published online on January 22, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh068
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted July 17, 2003

Case Reports

Use of epidural anaesthesia for surgery in a patient with Kennedy’s disease

E Okamoto 1, K. Nitahara 1*, M. Yasumoto 1, K. Higa 1

1 Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka, Japan

* To whom correspondence should be addressed. E-mail: nitahara{at}fukuoka-u.ac.jp.


  Abstract

Use of neuraxial block in a patient with motor neuron disease is controversial. We describe the anaesthetic management by epidural anaesthesia of a patient with Kennedy’s disease, a rare lower motor neuron disease characterized by progressive weakness and wasting of limbs and bulbar muscles. The perioperative course was uneventful, and there was no exacerbation of neurologic signs or symptoms. We suggest that a patient with Kennedy’s disease may be successfully managed by epidural anaesthesia for surgical internal urethrotomy.

Br J Anaesth 2004

Keywords: Keywords: anaesthetic techniques, epidural; complications, genetic disease, X-linked; complications, Kennedy’s disease; complications, motor neuron disease, lower


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