Case Report

Anaesthetic management of a patient with multiple system atrophy

DOI: 10.1080/22201181.2017.1338332
Author(s): Supriya DsouzaDepartment of Critical Care, India, Anil ParakhDepartment of Anaesthesiology, India, Adarsh KulkarniSeth Gs Medical College and Kem Hospital, India, Ajit BaviskarDepartment of Critical Care, India


Multiple system atrophy (MSA) is a rare adult-onset neurodegenerative disease. Symptoms vary from autonomic dysfunction to Parkinsonism and cerebellar ataxia, in any combination. MSA affects many organ systems with many possible complications and makes perioperative management of a patient with this condition very challenging. Successful management of a patient with MSA posted for laparoscopic nephrectomy under general anaesthesia is reported.

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