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Kim HJ, Lee HJ, Lee DW, et al. Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report. Korean J Anesthesiol. 2017;70(3):356-360doi: 10.4097/kjae.2017.70.3.356.
Kim, H. J., Lee, H. J., Lee, D. W., Kim, J. Y., Kwon, J. Y., Kim, H. K., Kim, W. S., & Hwang, B. Y. (2017). Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report. Korean journal of anesthesiology, 70(3), 356-360. https://doi.org/10.4097/kjae.2017.70.3.356
Kim, Hyae-Jin, et al. "Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report." Korean journal of anesthesiology vol. 70,3 (2017): 356-360. doi: https://doi.org/10.4097/kjae.2017.70.3.356
Kim HJ, Lee HJ, Lee DW, Kim JY, Kwon JY, Kim HK, Kim WS, Hwang BY. Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report. Korean J Anesthesiol. 2017 Jun;70(3):356-360. doi: 10.4097/kjae.2017.70.3.356. Epub 2017 Feb 03. PMID: 28580089; PMCID: PMC5453900.
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Korean J Anesthesiol. 2017 Jun;70(3):356-360. doi: 10.4097/kjae.2017.70.3.356. Epub 2017 Feb 03.

Anesthetic experience of frontotemporal dementia patient with severe autonomic dysfunction: a case report.

Korean journal of anesthesiology

Hyae-Jin Kim, Hyeon Jeong Lee, Do Won Lee, Jae Yeon Kim, Jae Young Kwon, Hae-Kyu Kim, Won-Sung Kim, Boo-Young Hwang

Affiliations

  1. Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Busan, Korea.

PMID: 28580089 PMCID: PMC5453900 DOI: 10.4097/kjae.2017.70.3.356

Abstract

Anesthetic experience in frontotemporal dementia (FTD) with severe hypotension associated autonomic dysfunction has not yet been reported. Here in case, we report on the case of treatment with vasopressin to refractory hypotension in FTD patient. A 54-year-old male presented with a ten-year history of FTD with frequent syncope. The patient was scheduled to undergo subtotal gastrectomy for resection of stomach cancer. During the operation, sudden hypotension occurred and it was refractory to fluid and 1 unit of blood resuscitation and did not respond to catecholamine. Transesophageal echocardiography showed normal heart with adequate volume state. After intravenous administration of arginine vasopressin, the patient's vital signs returned to baseline values. Arginine vasopressin might be considered as a valuable alternative for treatment of severe refractory hypotension in autonomic dysfunction patients with FTD.

Keywords: Autonomic nervous system disease; Frontotemporal dementia; Hypotension; Vasopressins

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