DOI: 10.36347/sjmcr.2015.v03i08.011

Pages: 687-688

Parkinson's disease is a common movement disorder typically affecting individuals aged 50-70 years. It is a neurodegenerative disorder of the central nervous system and characterized by bradykinesia, rigidity, postural instability and resting tremor. Other frequently seen symptoms are masked face, dysphagia, hypophonia, and gait disturbances. Parkinson's disease is a neurological disease and therefore, in general, spinal anesthesia is avoided. However, spinal anesthesia has some advantages such as clinical evaluation of the intraoperative neurological signs, suppression of surgical stress, postoperative pain management, and early mobilization. Medicine administered for general anesthesia may interact with the medication for Parkinson's disease. Preoperative cessation of anti-Parkinsonian drugs causes increased severity, morbidity and mortality. We have aimed to present our 79-year-old patient, who has been under treatment for Parkinson's for 2 years and to whom spinal anesthesia was administered during cystoscopy and bladder neck substance injection operation, and to overview the literature.