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- Emily L Sturgill and Robert L Wittwer.
- From the Wright-Patterson Medical Center, Wright-Patterson Air Force Base, Ohio.
- A A Pract. 2018 Jul 1; 11 (1): 25-27.
AbstractPatients with upper motor neuron disease, such as multiple sclerosis, can present with severe spasticity in the perioperative period. In most cases, this can be managed with a combination of preoperative oral medications, regional or neuraxial anesthetic techniques, and intravenous muscle relaxants. We describe the clinical presentation of a patient with multiple sclerosis and the successful use of intravenous dantrolene sodium postoperatively for the treatment of exacerbated spasticity refractory to traditional management.
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