Lubag disease is a genetic X-linked dystonia-parkinsonism syndrome afflicting 
Filipino men. This disease is characterized by dystonia dominating the first 
10-15 years of the disorder, which is associated with or replaced by 
parkinsonian features in later years of life. A 49-year-old man with Lubag 
disease underwent general anesthesia for deep brain stimulation (DBS) surgery. 
Anesthesia was maintained mainly with propofol, remifentanil, rocuronium 
bromide, and sevoflurane. During magnetic resonance imaging, the patient was 
anesthetized with midazolam, fentanyl, and rocuronium bromide. The surgery was 
completed safely using these anesthetic agents. After DBS, some symptoms 
including involuntary movement improved within 10 days.