Case Studies

Anaesthetic management of a patient with multiple system atrophy

Supriya Dsouza, Anil Parakh, Adarsh Kulkarni, Ajit Baviskar
Southern African Journal of Anaesthesia and Analgesia | Vol 23, No 4 | a1072 | DOI: https://doi.org/10.1080/22201181.2017.1338332 | © 2017 Supriya Dsouza, Anil Parakh, Adarsh Kulkarni, Ajit Baviskar | This work is licensed under Other
Submitted: 17 November 2025 | Published: 30 August 2017

About the author(s)

Supriya Dsouza, Department of Critical Care, Global Hospital, Mumbai, India
Anil Parakh, Department of Anaesthesiology, Global Hospital, Mumbai, India
Adarsh Kulkarni, Seth Gs Medical College and Kem Hospital, Mumbai, India
Ajit Baviskar, Department of Critical Care, Global Hospital, Mumbai, India

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Abstract

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

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