Friedreich's ataxia is an autosomal recessive inherited disease that causes progressive damage to the nervous system. It manifests in initial symptoms of poor coordination such as gait disturbance; it can also lead to scoliosis, heart disease and diabetes, but does not affect cognitive function. The disease is progressive, and ultimately a wheelchair is required for mobility. Its incidence in the general population is roughly 1 in 50,000.
Diabetes , Hypertrophic obstructive cardiomyopathy, weak muscles, No reflexes, No proprioception, speech hearing sight problems, are the problems encountered. Middle third of the Interscalene triangle was marked- Brachial plexus was identified with paresthesia in fingers technique— and 2% Lignocaine WITHOUT adrenaline 20 cc +4 mg Butorphanol was administered. 50- 100mcg Dexmedetomidine can also be used. Tachycardia , fluid overload should be…
