Case Report
BibTex RIS Cite

HUNTINGTON KORE OLGUSUNDA BAŞARILI ANESTEZİ YÖNETİMİ VE DERLENMEDE SUGAMMADEKS KULLANIMI-OLGU SUNUMU

Year 2020, Volume: 3 Issue: 2, 74 - 76, 27.06.2020

Abstract

Huntington koresi (HK) otozomal dominant geçişli, ilerleyici özellikte bir hastalıktır ve bazal ganglionların ilerleyici şekilde etkilenmesi ile ortaya çıkar. Hastalarda regürjitasyon ve pulmoner aspirasyon riskinde artma, uzamış tiyopental ve süksinilkolin cevabı, solunum güçlüğü, rijit spazma kadar ilerleyebilen postoperatif titreme gibi komplikasyonlarla karşılaşılabilir. Prevalansı 100000 de 4-10 olan bu hastalıkla ilişkili olarak literatürde bildirilen anestezi yöntemleri sınırlı olguda denenmiştir. Olgu sunumumuzda HK hastalığı olan 50 yaşında erkek hastanın anestezi yönetimini sunmayı amaçladık. Antikolinesteraz kullanımından kaçınmak amacıyla 100 mg sugammadeks verilen hasta başarılı bir şekilde ekstübe edildi ve derlenmesi sağlandı.

Supporting Institution

yok

References

  • Tollis D. Who was ... Huntington? Nurs Times. 1995;91(27):45.
  • Gilli E, Bartoloni A, Fiocca F, Dall’Antonia F, Carluccio S. Anaesthetic management in a case of Huntington’s chorea. Minerva Anestesiol. 2006;72:757-762.
  • Cangemi CF Jr, Miller RJ. Huntington’s disease: review and anesthetic case management. Anesth Prog. 1998;45:150-153.
  • Blanloeil Y, Bigot A, Dixneuf B. Anaesthesia in Huntington's chorea. Anaesthesia. 1982;37:695-696. doi:10.1111/j.1365-2044.1982.tb01287.x
  • Stoelting RK, Miller RD. Basics of Anesthesia. 3rd Edition. New York: Churchill Livingstone Inc.; 1994.
  • Gualandi W, Bonfanti G. A case of prolonged apnea in Huntington's chorea. Acta Anaesthesiol (Padova). 1968:19(suppl 6):235-238.
  • Costarino A, Gross JB. Patients with Huntington's chorea may respond normally to succinylcholine. Anesthesiology. 1985;63:570. doi:10.1097/00000542-198511000-00032
  • Kang JM, Chung JY, Han JH, et al. Anesthetic management of a patient with Huntington’s chorea- A case report. Korean J Anesthesiol. 2013;64(3):262-264. doi:10.4097/kjae.2013.64.3.262
  • Blobner M, Eriksson L, Scholz J, et al. Sugammadex (2 mg/kg) significantly faster reverses shallow rocuronium-induced neuromuscular blockade compared with Neostigmine (50 microgram/kg). Eur J Anaesthesiol. 2007;24(suppl 39):125-126. doi:10.1097/00003643-200706001-00465
  • Uluer MS, Sargin M, Ozmen S. High dose Suggammadex administiration in a case of Huntington chorea. Med Science. 2016;5(1):301-305. doi:10.5455/medscience.2015.04.8313

SUCCESSFUL ANESTHETIC MANAGEMENT AND RECOVERY WITH SUGAMMADEX IN A PATIENT WITH HUNTINGTON’S CHOREA-A CASE REPORT

Year 2020, Volume: 3 Issue: 2, 74 - 76, 27.06.2020

Abstract

ABSTRACT
Huntington’s chorea (HC) is an autosomal dominant hereditary disease with progressive characteristics affecting the basal ganglia. Patients may encounter complications like increased risk of regurgitation and pulmonary aspiration, prolonged thiopental and succinylcholine response, respiratory difficulties and postoperative shivering advancing to rigid spasms. With a prevalence of 4-10/100.000, there are limited case reports about anesthetic methods for this disease in the literature. In our case report, we aimed to present the anesthetic management of a 50-year old male patient with HC disease. Avoiding the use of anticholinesterase, 100 mg sugammadex was administered, the patient was successfully extubated and recovery was ensured.

References

  • Tollis D. Who was ... Huntington? Nurs Times. 1995;91(27):45.
  • Gilli E, Bartoloni A, Fiocca F, Dall’Antonia F, Carluccio S. Anaesthetic management in a case of Huntington’s chorea. Minerva Anestesiol. 2006;72:757-762.
  • Cangemi CF Jr, Miller RJ. Huntington’s disease: review and anesthetic case management. Anesth Prog. 1998;45:150-153.
  • Blanloeil Y, Bigot A, Dixneuf B. Anaesthesia in Huntington's chorea. Anaesthesia. 1982;37:695-696. doi:10.1111/j.1365-2044.1982.tb01287.x
  • Stoelting RK, Miller RD. Basics of Anesthesia. 3rd Edition. New York: Churchill Livingstone Inc.; 1994.
  • Gualandi W, Bonfanti G. A case of prolonged apnea in Huntington's chorea. Acta Anaesthesiol (Padova). 1968:19(suppl 6):235-238.
  • Costarino A, Gross JB. Patients with Huntington's chorea may respond normally to succinylcholine. Anesthesiology. 1985;63:570. doi:10.1097/00000542-198511000-00032
  • Kang JM, Chung JY, Han JH, et al. Anesthetic management of a patient with Huntington’s chorea- A case report. Korean J Anesthesiol. 2013;64(3):262-264. doi:10.4097/kjae.2013.64.3.262
  • Blobner M, Eriksson L, Scholz J, et al. Sugammadex (2 mg/kg) significantly faster reverses shallow rocuronium-induced neuromuscular blockade compared with Neostigmine (50 microgram/kg). Eur J Anaesthesiol. 2007;24(suppl 39):125-126. doi:10.1097/00003643-200706001-00465
  • Uluer MS, Sargin M, Ozmen S. High dose Suggammadex administiration in a case of Huntington chorea. Med Science. 2016;5(1):301-305. doi:10.5455/medscience.2015.04.8313
There are 10 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Olgu Sunumu
Authors

Şule Özbilgin This is me 0000-0002-2940-8988

Meltem Genez 0000-0003-1054-4506

Publication Date June 27, 2020
Submission Date February 28, 2020
Acceptance Date June 2, 2020
Published in Issue Year 2020 Volume: 3 Issue: 2

Cite

AMA Özbilgin Ş, Genez M. SUCCESSFUL ANESTHETIC MANAGEMENT AND RECOVERY WITH SUGAMMADEX IN A PATIENT WITH HUNTINGTON’S CHOREA-A CASE REPORT. Acta Med Nicomedia. June 2020;3(2):74-76.

images?q=tbn:ANd9GcSZGi2xIvqKAAwnJ5TSwN7g4cYXkrLAiHoAURHIjzbYqI5bffXt&s

The articles in the Journal of "Acta Medica Nicomedia" are open access articles licensed under a Creative Commons Attribution-ShareAlike 4.0 International License at the web address https://dergipark.org.tr/tr/pub/actamednicomedia