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Anaesthetic management in a patient with progressive supranuclear palsy

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We recently administered anaesthesia to a 69-year-old female with a history of PSP undergoing total hip replacement. Physical examination showed generalised hypertonia with cervical backward tilt, dysphagia, and moderate cognitive… Click to show full abstract

We recently administered anaesthesia to a 69-year-old female with a history of PSP undergoing total hip replacement. Physical examination showed generalised hypertonia with cervical backward tilt, dysphagia, and moderate cognitive impairment. Her condition was being symptomatically treated with carbidopa–levodopa 25 mg/100 mg PO q8h, baclofen 5 mg PO q8h, tizanidine 2 mg PO q8h, mirtazapine 30 mg/day PO, venlafaxine 75 mg/day PO, and zolpidem 5mg/day PO.

Keywords: supranuclear palsy; management patient; patient progressive; day; progressive supranuclear; anaesthetic management

Journal Title: Indian Journal of Anaesthesia
Year Published: 2018

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