Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Case Report
Asp Biomed Clin Case Rep. 2023 Aug 03;6(3):186-89
Corresponding Author: Xin Wang
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Received date: 20 July 2023; Accepted date: 27 July 2023; Published date: 03 August 2023
Citation: Wang X. Postoperative Respiratory Dysfunction in Patients with Parkinson’s Disease. Asp Biomed Clin Case Rep. 2023 Aug 03;6(3):186-89.
Copyright © 2023 Wang X. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Parkinson Disease, Deep Brain Stimulation, Levodopa, Laryngismus, Postoperative Care, Neuroleptic Malignant Syndrome, Airway Management, Perioperative Period, Anesthesiology
This case report presents a 67-year-old female with Parkinson’s disease who underwent deep brain stimulation (DBS) electrode replacement surgery. Following extubation, the patient developed persistent laryngospasm, requiring immediate intervention. Suspecting symptoms similar to levodopa withdrawal, the patient received intravenous propofol and enteral levodopa supplementation, leading to symptom improvement. The case underscores the importance of perioperative management, including timely medication supplementation and DBS functioning, in Parkinson’s patients to prevent neuroleptic malignant syndrome (NMS)-like complications. Anesthesiologists should be vigilant about potential airway issues and NMS in this population and maintain optimal fluid status during surgery. Prompt intervention can prevent irreversible damage and improve patient outcomes.