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Neurological Disease

  • Lane K. Jacobs
  • Benjamin L. Sapers
Chapter

Abstract

Patients with neurologic disease tend to be older or sicker than those without these conditions. Preexisting neurologic disease may influence preoperative evaluation and preparation for surgery, selection of anesthetic agents and technique, and perioperative management. Various neurologic conditions share common clinical physiology and have similar risk factors that need to be addressed. This chapter focuses on the evaluation and management of patients with cerebrovascular disease, neuromuscular, and movement disorders undergoing noncardiac surgery. Differences between cardiac and noncardiac surgery will be highlighted where appropriate.

Keywords

Spinal Muscular Atrophy Pressure Ulcer Malignant Hyperthermia Malignant Hyperthermia Noncardiac Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Reference

  1. 1.
    Emre M, Aaarsland D, Albanese A, et al. Rivastigmine for dementia associated with Parkinson’s Disease. N Engl J Med. 2004;351:2509.PubMedCrossRefGoogle Scholar
  2. 2.
    Frucht SJ. Movement disorder emergencies in the perioperative period. Neurol Clin. 2004;22:379.PubMedCrossRefGoogle Scholar
  3. 3.
    Galvez-Jimenez N, Lang AE. The perioperative management of Parkinson’s disease revisited. Neurol Clin. 2004;22:367.PubMedCrossRefGoogle Scholar
  4. 4.
    Goetz CG, Lutge W, Tanner CM. Autonomic dysfunction in Parkinson’s disease. Neurology. 1986;36:73-75.PubMedGoogle Scholar
  5. 5.
    LeWitt PA. Levodopa for the treatment of Parkinson’s Disease. N Engl J Med. 2008;359: 2468-2476.PubMedCrossRefGoogle Scholar
  6. 6.
    Miyasaki J, Shannon K, Voon V, et al. Practice parameter: evaluation and treatment of depression, psychosis, and dementia in Parkinson disease (an evidence-based review): report of the quality standards subcommittee of the American academy of neurology. Neurology. 2006;66:996.PubMedCrossRefGoogle Scholar
  7. 7.
    Oliveira E, Michel A, Smolley L. The pulmonary consultation in the perioperative management of patients with neurologic diseases. Neurol Clin. 2004;22:277.CrossRefGoogle Scholar
  8. 8.
    Pepper PV, Goldstein MK. Postoperative complications in Parkinson’s disease. J Am Geriatr Soc. 1999;47(8):967-972.PubMedGoogle Scholar

Suggested Reading

  1. Blacker DJ, Flemming KD, Link MJ, Brown RD. The Preoperative cerebrovascular consultation: common cerebrovascular questions before general or cardiac surgery. Mayo Clin Proc. 2004;79:223-229.PubMedCrossRefGoogle Scholar
  2. Gelb AW, Cowie DA. Perioperative stroke prevention. IARS Review Course Lectures. 2001;46-53.Google Scholar
  3. Halaszynski TM, Juda R, Silverman DG. Optimizing postoperative outcomes with efficient preoperative assessment and management. Crit Care Med. 2004;32(Suppl):S76-S86.PubMedCrossRefGoogle Scholar
  4. Kofke WA. Anesthetic management of the patient with epilepsy or prior seizures. Curr Opin Anaesthesiol. 2010;23:391-399.PubMedCrossRefGoogle Scholar
  5. Lieb K, Selim M. Preoperative evaluation of patients with neurological disease. Semin Neurol. 2008;28(5):603-610.PubMedCrossRefGoogle Scholar
  6. Larsen SF, Zaric D, Boysen G. Postoperative cerebrovascular accidents in general surgery. Acta Anaesthesiol Scand. 1988;32:698-701.PubMedCrossRefGoogle Scholar
  7. Wong GY, Warner DO, Schroeder DR, et al. Risk of surgery and anesthesia for ischemic stroke. Anesthesiology. 2000;92:425-432.PubMedCrossRefGoogle Scholar
  8. Selim M. Perioperative stroke. N Engl J Med. 2007;356:706-713.Google Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Section of General Internal MedicineCarolinas Medical CenterCharlotteUSA

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