Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management

shayesteh khorasanizadeh; Nima Saeedi; Hamed Javadian; Reza Jalil Khoshnood; Alireza Zali; Gholamreza Mohseni; Davood Ommi; Houman Teymourian

doi:10.22037/jcma.v5i2.29473

Journal of Cellular & Molecular Anesthesia

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https://doi.org/10.22037/jcma.v5i2.29473

Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management

Author(s):

shayesteh khorasanizadeh

^1,*,

Nima Saeedi

²,

Hamed Javadian³,

Reza Jalil Khoshnood³,

Alireza Zali³,

Gholamreza Mohseni

¹,

Davood Ommi¹,

Houman Teymourian

¹

1Anesthesiology Research Center, Department of Anesthesiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2Anesthesiology Research Center Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3Neurofunctional Research Center, Shohada-e-Tajrish, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Journal of Cellular & Molecular Anesthesia:Vol. 5, issue 2; e149599

Published online:Mar 25, 2020

Article type:Case Report

How to Cite:shayesteh khorasanizadehNima SaeediHamed JavadianReza Jalil KhoshnoodAlireza ZaliGholamreza MohseniDavood OmmiHouman Teymourianet al.Anesthesia considerations in surgical deep brain stimulation for Tourette syndrome management.J Cell Mol Anesth.5(2):e149599.https://doi.org/10.22037/jcma.v5i2.29473.

Abstract

Tourette?s syndrome (TS) is a neuro-behavioral disease associated by phonic and motor tics with a high frequency of psychiatric co-morbidities. For these cases, deep brain stimulation (DBS) is a developing neuro-modulated treatment option since the first report on a successful surgery in 1999. A male thirty-one years old (77 kg, 178 cm) with diagnosis of Gilles De La Tourette syndrome admitted to neurosurgery ward. His medication included Aripiprazole, pimozide, buspirone, clomipramine, citalopram, phenytoin, Desmopressin and Lithium. The patient underwent implanting DBS (Deep Brain Stimulator) surgery and battery implantation in two steps with two weeks interval. General anesthesia with considerations and according to behavior of disease and drug interactions was performed. The cause and symptoms may be due to central dopaminergic hyperactivity or anomalous dopamine neurotransmission and interventions and anesthesia should be done considering these abnormalities.

Keywords

Gilles De La Tourette syndrome

Deep Brain Stimulator

anesthesia

References

1.
References are in the PDF file of the article.

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Author(s):

shayesteh khorasanizadeh:[PubMed][Scholar]
Nima Saeedi:[PubMed][Scholar]
Hamed Javadian:[PubMed][Scholar]
Reza Jalil Khoshnood:[PubMed][Scholar]
Alireza Zali:[PubMed][Scholar]
Gholamreza Mohseni:[PubMed][Scholar]
Davood Ommi:[PubMed][Scholar]
Houman Teymourian:[PubMed][Scholar]