Journal article

Anaesthesia techniques and advanced monitoring in CANVAS patients -Implications for postoperative morbidity and patient recovery: A case report

Laurence Weinberg, Akshay Hungenahally, Joshua Meyerov, Lachlan Fraser Miles, Daniel Robert Anthony Cox, Vijayaragavan Muralidharan

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | ELSEVIER SCI LTD | Published : 2021

Abstract

INTRODUCTION: Cerebellar ataxia, neuropathy and vestibular areflexia syndrome (CANVAS) is a rare multisystem neurodegenerative disorder. We describe our perioperative evaluation and care of a patient with CANVAS undergoing a pancreaticoduodenectomy for an ampullary adenocarcinoma, with a focus on perioperative risk stratification and optimisation, intraoperative advanced haemodynamic monitoring and the postoperative care. CASE PRESENTATION: A 69-year-old female with CANVAS presented with asymptomatic obstructive jaundice, icterus and abdominal pain. She had limited mobility and deconditioning due to severe generalised neuropathy. Computed tomography confirmed a resectable periampullary tumou..

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