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CASE REPORT
Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 1275-1276

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


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

Correspondence Address:
Dr. Keshav Goyal
Department of Neuroanaesthesiology and Critical Care, 710, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_47_18

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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.


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