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MULTİPL SKLEROZLU OLGUDA ANESTEZİ UYGULAMASI

Anesthetic management of a patient with multiple sclerosis

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Abstract (2. Language): 
Aim: Multiple sclerosis (MS), is characterized by demyelination of different parts of brain and spinal cord and episodic neurologic symptoms. In this case report we aimed to present a patient, and high¬lighting anesthetic management for these patients. Case Report: A 42 year old man who had neu¬rogenic bladder with primer progressive multiple sclerosis undergoing bladder stone operation is discussed. Conclusion: Stress such as surgery or general anesthesia may be associated with an exacerbation of the disease. We thought that to carry out desflurane and remifentanil combination used safely in anesthetic management for MS.
Abstract (Original Language): 
Amaç: Multiple skleroz (MS), beyin ve spinal kordon farklı bölümlerinin demyelinizasyonu ve epizodik nörolojik semptomlarla karakterize bir hastalıktır. Bu olguda, literatürler yardımıyla anestezik yön¬temimizi anlatmayı amaçladık. Olgu Sunumu: Nörojenik mesanesi olan ve mesane taşı için opere edilen primer progresif multiple sklerozlu 42 yaşındaki erkek hasta tartışıldı. Sonuç: Cerrahi ya da genel anestezi gibi stres durumları hastalığı alevlendirebilmektedir. Bu olgunun anestezisinde uygu¬ladığımız desfluran ve remifentanil kombinasyonunu MS'da güvenle kullanılabileceğini düşünmek¬teyiz.
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