{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:07:48Z","timestamp":1779941268777,"version":"3.53.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":146,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Anesthesiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hereditary spastic paraplegia is an extremely rare, heterogenous, inherited, progressive neurologic disorder characterized by lower\u2010extremity weakness and spasticity in pure forms, with complex forms including symptoms such as seizures, dementia, and ataxia. Due to its rarity, evidence guiding anesthetic management is limited, consisting of only eight published case reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>We report the anesthetic management of a patient with pure hereditary spastic paraplegia undergoing renal mass cryoablation in the prone position. General endotracheal anesthesia was induced with propofol, maintained with isoflurane, and included nondepolarizing neuromuscular blockade with reversal using sugammadex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with hereditary spastic paraplegia typically have experienced multiple anesthetic exposures prior to diagnosis, suggesting that standard anesthetic techniques are generally well\u2010tolerated in this population without significant adverse effects. Given that pure HSP is an upper\u2010motor neuron disorder\u2014without involvement of the neuromuscular junction\u2014extensive disease\u2010specific modifications to anesthetic plans are likely unnecessary in the absence of additional comorbid risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cria\/8487425","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:46:02Z","timestamp":1779939962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management of a Patient With Hereditary Spastic Paraplegia: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"given":"Isbi","family":"Sotelo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4173-824X","authenticated-orcid":false,"given":"Kevin R.","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms23031697"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30235-2"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2006.01.002"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjane.2012.05.002"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03013958"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40981-019-0250-1"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2006.11.002"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000215148.29795.70"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000615"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004379"}],"container-title":["Case Reports in Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/8487425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cria\/8487425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cria\/8487425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:46:07Z","timestamp":1779939967000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cria\/8487425"}},"subtitle":[],"editor":[{"given":"Benjamin","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cria\/8487425"],"URL":"https:\/\/doi.org\/10.1155\/cria\/8487425","archive":["Portico"],"relation":{},"ISSN":["2090-6382","2090-6390"],"issn-type":[{"value":"2090-6382","type":"print"},{"value":"2090-6390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8487425"}}