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Review Article
Online Published: 31 Dec 2022
 


Anesthesia management in patients with neurological diseases: an updated systematic review

Mohamed Ahmed Fayad, Abdulmajeed Alnahdi, Abdullah Abdulrahman Bin Bakor, Mohammed Bakr Mohammed Bosaeed, Ammar Ibrahim Hawsawi, Yasser Jabah Misfer Alsenadi.


Abstract
Prior literature discouraged anesthesiologists from administering regional anesthesia on patients with pre-existing neurologic disorders. Anesthesiologists are occasionally faced with adopting a regional anesthetic method in patients with pre-existing neurological diseases. There is uncertainty about whether secondary variables such as patient characteristics and anesthetic and surgical risk factors might influence the post-operative neurological outcome. To review the current literature on the anesthetic management of patients with neurological diseases. Studies related to our subject were explored using PubMed and Google scholar databases. The keywords included were “Anesthesia, anesthetic management, neurological disease, regional anesthesia,” and were used in various combinations. The inclusion criteria were original studies that reported Anesthesia management in patients with neurological disease and full text- articles. A total of 100 articles were obtained, only 8 articles were eligible for the inclusion criteria were published between 2004 and 2021. The detailed studies were conducted on 156 participants, two of them were case series, and six were case reports. Patients with central nervous system (CNS) problems such as multiple sclerosis (MS), amyotrophic lateral sclerosis, Tuberous sclerosis, and brain tumors were included in our study. General anesthesia has been associated with worsening MS. A bupivacaine-based scalp nerve block and Dexmedetomidine were used as the primary hypnotic-sedative medicine to perform awake craniotomies on 10 patients, allowing safe tumor removal. The study shows that the risks associated with neuraxial anesthesia and analgesia in those with pre-existing CNS illnesses may be less prevalent than previously thought.

Key words: Anesthesia, anesthetic management, neurological disease, multiple sclerosis, amyotrophic lateral sclerosis.


 
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How to Cite this Article
Pubmed Style

Fayad MA, Alnahdi A, Bakor AAB, Bosaeed MBM, Hawsawi AI, Alsenadi YJM. Anesthesia management in patients with neurological diseases: an updated systematic review. IJMDC. 2023; 7(3): 569-578. doi:10.24911/IJMDC.51-1642537142

Web Style

Fayad MA, Alnahdi A, Bakor AAB, Bosaeed MBM, Hawsawi AI, Alsenadi YJM. Anesthesia management in patients with neurological diseases: an updated systematic review. https://www.ijmdc.com/?mno=8098 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1642537142

AMA (American Medical Association) Style

Fayad MA, Alnahdi A, Bakor AAB, Bosaeed MBM, Hawsawi AI, Alsenadi YJM. Anesthesia management in patients with neurological diseases: an updated systematic review. IJMDC. 2023; 7(3): 569-578. doi:10.24911/IJMDC.51-1642537142


Vancouver/ICMJE Style

Fayad MA, Alnahdi A, Bakor AAB, Bosaeed MBM, Hawsawi AI, Alsenadi YJM. Anesthesia management in patients with neurological diseases: an updated systematic review. IJMDC. (2023), [cited October 14, 2025]; 7(3): 569-578. doi:10.24911/IJMDC.51-1642537142


Harvard Style

Fayad, M. A., Alnahdi, . A., Bakor, . A. A. B., Bosaeed, . M. B. M., Hawsawi, . A. I. & Alsenadi, . Y. J. M. (2023) Anesthesia management in patients with neurological diseases: an updated systematic review. IJMDC, 7 (3), 569-578. doi:10.24911/IJMDC.51-1642537142


Turabian Style

Fayad, Mohamed Ahmed, Abdulmajeed Alnahdi, Abdullah Abdulrahman Bin Bakor, Mohammed Bakr Mohammed Bosaeed, Ammar Ibrahim Hawsawi, and Yasser Jabah Misfer Alsenadi. 2023. Anesthesia management in patients with neurological diseases: an updated systematic review. International Journal of Medicine in Developing Countries, 7 (3), 569-578. doi:10.24911/IJMDC.51-1642537142


Chicago Style

Fayad, Mohamed Ahmed, Abdulmajeed Alnahdi, Abdullah Abdulrahman Bin Bakor, Mohammed Bakr Mohammed Bosaeed, Ammar Ibrahim Hawsawi, and Yasser Jabah Misfer Alsenadi. "Anesthesia management in patients with neurological diseases: an updated systematic review." International Journal of Medicine in Developing Countries 7 (2023), 569-578. doi:10.24911/IJMDC.51-1642537142


MLA (The Modern Language Association) Style

Fayad, Mohamed Ahmed, Abdulmajeed Alnahdi, Abdullah Abdulrahman Bin Bakor, Mohammed Bakr Mohammed Bosaeed, Ammar Ibrahim Hawsawi, and Yasser Jabah Misfer Alsenadi. "Anesthesia management in patients with neurological diseases: an updated systematic review." International Journal of Medicine in Developing Countries 7.3 (2023), 569-578. Print. doi:10.24911/IJMDC.51-1642537142


APA (American Psychological Association) Style

Fayad, M. A., Alnahdi, . A., Bakor, . A. A. B., Bosaeed, . M. B. M., Hawsawi, . A. I. & Alsenadi, . Y. J. M. (2023) Anesthesia management in patients with neurological diseases: an updated systematic review. International Journal of Medicine in Developing Countries, 7 (3), 569-578. doi:10.24911/IJMDC.51-1642537142




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