Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report

被引：0

作者：

Soloniuk, Leonard J. ^{[1
,2
,3
,4
,5
]}

Jones, Jonathan ^{[5
]}

Baker, Christopher ^{[5
]}

Bishawi, Mira ^{[5
]}

Pasca, Ioana ^{[1
,3
,5
,6
]}

Sinha, Ashish ^{[3
,7
]}

机构：

[1] Loma Linda Univ, Dept Anesthesiol, Loma Linda, CA USA

[2] Loma Linda Univ, Dept Gynecol & Obstet, Loma Linda, CA USA

[3] Univ Calif Riverside, Dept Internal Med, Riverside, CA USA

[4] Riverside Univ Hlth Syst, Dept Gynecol & Obstet, Med Ctr, Moreno Valley, CA USA

[5] Riverside Univ Hlth Syst, Dept Anesthesiol & Perioperat Med, Med Ctr, 26520 Cactus Ave, Moreno Valley, CA 92555 USA

[6] Univ Calif San Diego, Dept Anesthesiol, La Jolla, CA USA

[7] New York Med Coll, Dept Anesthesiol, St Marys Gen Hosp, Passaic, NJ USA

来源：

A & A PRACTICE | 2025年 / 19卷 / 03期

基金：

中国国家自然科学基金;

关键词：

INTRATHECAL DEXMEDETOMIDINE; AUTONOMIC DYSFUNCTION; CEREBROSPINAL-FLUID; SPINAL-ANESTHESIA; MANAGEMENT; MORPHINE;

D O I：

10.1213/XAA.0000000000001926

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The rarity of Huntington's disease (HD) parturients implies that anesthesiologists have little exposure to the management of these patients. We explore techniques for the management of a 21-year-old parturient with symptomatic HD who underwent successful neuraxial anesthesia for labor and subsequent cesarean delivery. We provide guidance on perioperative medications for comorbidities associated with HD. Dexmedetomidine, which we administered neuraxially, appears to have significant potential for the perioperative diminution of choreiform movements. Current anesthetic management of HD cannot be informed by traditional research methodology and therefore much information must be gleaned from the limited available case reports.

引用

页数：4

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