SUBARACHNOID BLOCK FOR A CASE OF MULTIPLE SYSTEM ATROPHY

We report a case of multiple system atrophy in a 60-year-old man who p resented twice for optical urethrotomy. Multiple system atrophy is ass ociated with autonomic neuropathy, cerebellar ataxia, disordered contr ol of respiration and paralysis of the abductors of the vocal cords an d thus poses several problems for the anaesthetist. Subarachnoid block , which has not been described before in this group of patients, was a dministered twice and was well tolerated on both occasions.