Akademik Veri Yönetim Sistemi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.36, sa.4, ss.213-221, 2008 (Scopus)
Multiple sclerosis (MS) is a chronic demyelinating disease of the central nervous system affecting primarily women at the age between 30-40 years. The disease may affect many organ systems and the insufficiency caused in these systems may affect the anaesthetic management. The main point about MS is that it may have different symptoms and the degree of the disease may be changing. Although, all anaesthetic techniques may cause exacerbation of the disease, general anaesthesia and epidural anaesthesia with low concentration of lidocain seems safer than spinal anaesthesia. Patient should be informed that the disease may exacerbate after the surgery and the anaesthesia. Any potential efficacy, risks and complications of the anaesthetic technique should be explained. Evaluating and recording preoperative and postoperative neurological and respiratory data of the patient is important in respect to determine the postoperative effects of the surgery and the anaesthesia. Pharmacological treatment of the patient should be analyzed and if necessary replacement therapy be ordered. Body temperature should be monitored closely and hyperthermia should be prevented. In this paper, etiologies, progress and the anaesthetic management of MS was discussed.