The Use of Rocuronium and Sugammadex on a Patient with Multiple Sclerosis

Multiple sclerosis (MS) is a chronic inflammatory, demyelinizing autoimmune illness which affects the central nervous system. Stress, surgery, anesthesia, emotional distress, changes in body temperature may lead to an increase in MS symptoms or new attacks in patients in remission. One of the difficulties in the management of anesthesia seen in MS patients is the inability to reverse neuromuscular block early and completely. A 31-year-old female patient (74 kg, 169 cm) who consulted to the general surgery department with abdominal pain was admitted with the diagnosis of cholelithiasis and cholecystectomy was planned. This patient has been diagnosed as MS the age of 19, occasionally had attacks for 12 years and receives interferon-1a treatment. In this case report, a MS patient was presented who underwent laparoscopic cholecystectomy in which muscle relaxation was provided with rocuronium, and whose neuromuscular block was reversed with sugammadex.