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Anaesthetic management of a patient with multiple system atrophy

Supriya Dsouza
Anil Parakh
Adarsh Kulkarni
Ajit Baviskar


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.

Keywords: laparoscopy, multiple system atrophy, Parkinsonism

Journal Identifiers

eISSN: 2220-1173
print ISSN: 2220-1181