Anesthetic Management of Cervical Disc Herniation in a Patient with Churg-Strauss Syndrome: A Case Report

authors:

avatar Kamran Mottaghi ORCID 1 , * , avatar Farhad Safari ORCID 1 , avatar Parisa Sezari ORCID 2 , avatar Masoud Forouzmehr 3 , avatar Masoud Nashibi ORCID 2

Associate Professor, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Assistant Professor, Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Resident of Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

how to cite: Mottaghi K, Safari F, Sezari P, Forouzmehr M, Nashibi M. Anesthetic Management of Cervical Disc Herniation in a Patient with Churg-Strauss Syndrome: A Case Report. J Cell Mol Anesth. 2018;3(4):e149571. https://doi.org/10.22037/jcma.v3i4.23843.

Abstract

Churg-Strauss syndrome (CSS) or allergic granulomatosis is a necrotizing vasculitis with different presentations. In this case highlights the anesthetic management of a known case of CSS who underwent posterior spinal fixation surgery. Our patient fulfilled the ACR diagnosis criteria because of? showing asthma, paranasal sinusitis, positive skin biopsy and eosinophilia.Before anesthesia induction, laryngeal nerves block by lidocaine was conducted. Fiber-optic bronchoscopy was preceded by inserting a No. 7.5 spiral cuffed endotracheal tube.