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 CASE REPORT
Year : 2021  |  Volume : 69  |  Issue : 5  |  Page : 1409--1411

Anesthetic Management of Hashimoto's Encephalopathy Presenting for Spine Surgery


Division of Neuroanesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

Correspondence Address:
Ajay P Hrishi
Assistant Professor, Division of Neuroanesthesia, Department of Anaesthesiology, Surgical Block, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum - 695 011, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.329609

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Hashimoto's encephalopathy (HE) is a rare neuroendocrine disorder, and there are no reports regarding anesthetic implications in a patient diagnosed with HE. These patients can have a plethora of systemic manifestations involving cardiovascular, respiratory, renal, gastrointestinal, hematologic, and central nervous systems. Once diagnosed, meticulous preoperative assessment is essential to rule out systemic involvement and to reduce the perioperative morbidity. Perioperative steroid therapy, neuromonitoring in the perioperative period, opioid free analgesia, and avoidance of nephrotoxic drugs are of paramount importance in the management of such patients. Awareness of the clinical condition and extreme vigilance can detect relapses in the perioperative period. Thus, a meticulous preoperative assessment, balanced anesthesia, perioperative neuromonitoring, and steroid therapy are essential to reduce the perioperative morbidity.






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Online since 20th March '04
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