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KMID : 0191119950100010031
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Journal of Korean Medical Science
1995 Volume.10 No. 1 p.31 ~ p.35
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Profound hypotension immediately following insertion of methyl methacrylate during bipolar endoprosthesis in a patient with long-term levodopa-treated paralysis agitans
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Kim YC
Cho MS/Kim SS/Kim SY/Lee YG/Kim TH/Jung SR
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Abstract
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Insertion of methyl methacrylate polymer into newly reamed bony cavities has sometimes
resulted in profound hypotension, cardiac arrest, or sudden death which are more common in patients with hemodynamic instability or hypovolemia. In paralysis agitans(Parkinson´s disease), dramatic worsening of the disease often occurs when another illness or trauma accompanies it. And it is possible that chronic medication with levodopa can cause the loss of ability to support blood pressure. So, it involves some risk to use methyl methacrylate in chronic levodopa-treated paralysis agitans. We present a case of paralysis agitans who demonstrated profound hypotension immediately following insertion of methyl methacrylate polymer in spite of normovolemia and proper anesthetic management.
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