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Asleep-Awake-Asleep General Anesthesia for Open Cervical Rhizotomy: Case Report and Description of the Technique

O'Shea, Peter J.*; Sarwat, Amr M.**; Sutcliffe, John C.*

Journal of Neurosurgical Anesthesiology: October 2000 - Volume 12 - Issue 4 - p 356-358

The authors describe the technique of Asleep-Awake-Asleep anesthesia for open dorsal rhizotomy in a 78-year-old female patient, admitted to the hospital with intractable pain in the distribution of C2 dermatome following a road traffic accident. The patient was anesthetised and the rhizotomy performed using the intradural approach. Anesthesia was conducted by Total Intravenous Anesthesia using a Target Controlled Infusion system. The patient was awakened twice intraoperatively to verify success of the rhizotomy. Complete pain relief was obtained and maintained at 1 year follow-up.

*Royal London Hospital, Whitechapel, London, United Kingdom; and **The London Clinic, London, United Kingdom

Address correspondence and reprint requests to Amr M. Sarwat, F.R.C.S., Spinal Fellow, The London Clinic, 20 Devonshire Place, London, W1N 2DH, United Kingdom.

© 2000 Lippincott Williams & Wilkins, Inc.