Abstract
ALS patients may carry a poor prognosis and have various anesthetic problems such as respiratory failure caused by muscle weakness and atrophy, and abnormal response to muscle relaxantes.
A 65-years-old patient with ALS underwent a right adnexectomy under spinal anesthesia without any perioperative clinical deterioration.
In the anesthtic management for the patient, we have to understand the condition of the disease, and as long as the patient is made aware of the risk/benefit factors and agrees to spinal anesthesia, there might be no contraindication to the use of this anesthesia.
