Open AccessIntraoperative management of a patient for deep brain stimulation with severe dyskinesia and tremors: Ketamine to the rescue!
Author(s) -
Suman Sokhal,
Keshav Goyal,
Navdeep Sokhal,
Niraj Kumar,
Shweta Kedia
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_47_18
Subject(s) - deep brain stimulation , dyskinesia , medicine , ketamine , substantia nigra , pars compacta , anesthesia , sedation , parkinson's disease , dopaminergic , disease , dopamine
The loss of dopaminergic neurons from the substantia nigra pars compacta characterizes the classical pathology of Parkinson's disease (PD). Deep brain stimulation (DBS) has become an increasingly common treatment for PD. Sometimes excessive tremors due to exacerbated PD hinder the surgery and may almost make it impossible. This is a case report highlights use of IV ketamine for intraoperative sedation of a patient with PD, with severe dyskinesia & tremors, posted for DBS. IV ketamine resulted in prompt abolition of tremors and dyskinesia, which were unresponsive to previous traditional sedative drugs.