Intraoperative management of a patient for deep brain stimulation with severe dyskinesia and tremors: Ketamine to the rescue!

Suman Sokhal; Keshav Goyal; Navdeep Sokhal; Niraj Kumar; Shweta Kedia

doi:10.4103/ajns.AJNS_47_18

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1275-1276
DOI: 10.4103/ajns.AJNS_47_18

Case Report

Intraoperative management of a patient for deep brain stimulation with severe dyskinesia and tremors: Ketamine to the rescue!

Suman Sokhal

⁰Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi

,

Keshav Goyal

⁰Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi

,

Navdeep Sokhal

⁰Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi

,

Niraj Kumar

⁰Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi

,

Shweta Kedia

¹Department Neurosurgery, All India Institute of Medical Sciences, New Delhi

› Author Affiliations

Abstract

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.

Key-words:

Deep brain stimulation - dyskinesia - ketamine - Parkinson's disease - sedation

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References

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