[Anesthesia for a patient with spinocerebellar degeneration who developed atrioventricular block]

A 54-year-old female with a history of spinocerebellar degeneration (SCD) and myoma uteri had general anesthesia for the abdominal total hysterectomy. Though the operation was uneventfully performed, various atrioventricular blocks occurred. These might be related to the SCD. Hypertonic state of the vagus was considered to be the quite possible cause of the block. Myocardial degeneration associated with the SCD was also an undeniable factor of the block. No arrhythmia occurred and symptoms of the SCD were not aggravative after the anesthesia and the patient was discharged uneventfully.