[Anesthetic management for a patient with multiple sclerosis].

A 49-year-old woman with multiple sclerosis (MS) received emergency laparotomy for panperitonitis. She had been suffering from MS for 13 years, and her main clinical symptoms were disorders in sight, walking and touch sensation below T 7. We used propofol and fentanyl for induction and maintained anesthesia with nitrous oxide, sevoflurane and additional fentanyl. Intubation was carried out without muscle relaxant. Train of four ratio was monitored during surgery. Thus the use of muscle relaxant was suppressed to the minimum requirement. Circulatory function was stable and no cardiovascular agent was used throughout the surgery. Awakening from anesthesia was smooth and exacerbation of the neurological abnormalities was not observed after surgery. She was transferred uneventfully to a recuperative hospital on the 13th postoperative day.