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Prone epidural anesthesia in a patient with Huntington's chorea

Year 2015, Volume: 7 Issue: 2, 1 - 2, 01.08.2015

Abstract

Huntington's chorea HC is a rare, autosomal, dominant hereditary disorder of the nervous system. Symptoms occur in the third and fourth decades of life and manifest as involuntary choreiform movements, ataxia, and progressive mental deterioration. The prevalence of HC is 4-10/ 100.000 cases with no difference between males and females. Patients have greater risk for some intraoperative complications, poor respiratory function and postoperative shivering leading to rigid spasms Only a few case reports have been published describing the anesthetic management of patients with HC. In this case report; we present our successful experience using epidural anesthesia in prone Jack Knife position in a HC.

References

  • White T, Neustein S. Monitored anesthesia care for a patient with advanced Hunting- ton’s chorea. Middle East J Anesthesiol. 2013;22(2):185-186.
  • Sriganesh K, Saini J. Exacerbation of Involun- tary Movements After Propofol Anesthesia in a Patient With Huntington Disease. J Neurosurgi Anesthesiol 2013; 25(2): 212.
  • Nagele P, Hammerle AF. Sevoflurane and miva- curium in a patient with Huntington’s chorea. Br J Anaesth 2000; 85(2):320-321.
  • Gıllı E, Bartoloni A, Fiacco F, Dall’antonia F. Anaesthetic management in a case of Hun- tington’s Chorea; Case Report. Minerva Anest- esiol 2006;72(9):756-762.
  • Kivela JE, Sprung J, Southorn PA, Watson JC, Weingarten TN. Anesthetic management of patients with Huntington disease. Anesth Analg 2010;110(2):515-523.
  • Erbaş M, Dost B, Karapolat B. Epidural anes- thesia in a patient with Huntington’s chorea. Gaziantep Med J 2012;18(2): 113-114.
  • Chawla J, Raghavendra M, Lovato L. Epidural Nerve Block. 2013: http://emedicine.med- scape.com/article/149646-overview

Huntington Koresi tanılı hastada pron pozisyonda epidural anestezi

Year 2015, Volume: 7 Issue: 2, 1 - 2, 01.08.2015

Abstract

Huntington koresi HK ; nadir görülen otozomal dominant geçiş gösteren bir sinir sistemi bozukluğudur. Semptomları hayatın 3. ve 4. dekatlarında istemsiz koreiform hareketleri, ataksi ve ilerleyici mental bozulma olarak kendini gösterir. HK prevelansı 4-10/100.000 olarak belirtilmekte ve erkek ve kadın cinsiyet açısından farklılık göstermemektedir. HK tanılı olgularda anestezi yönetimi ile ilgili sadece birkaç olgu sunumu yayınlanmıştır. Hastalar bazı intraoperatif komplikasyonlar, zayıf respiratuvar fonksiyon ve rijit spazmlara yol açan titremeler gibi postoperatif komplikasyonlar açısından yüksek risk altındadırlar. HK tanılı olgularda anestezi yönetimi ile ilgili sadece birkaç olgu sunumu yayınlanmıştır. Burada, HK tanılı olgumuzda prone Jack Knife pozisyonunda uyguladığımız başarılı epidural anestezi deneyimimizi sunmayı amaçladık.

References

  • White T, Neustein S. Monitored anesthesia care for a patient with advanced Hunting- ton’s chorea. Middle East J Anesthesiol. 2013;22(2):185-186.
  • Sriganesh K, Saini J. Exacerbation of Involun- tary Movements After Propofol Anesthesia in a Patient With Huntington Disease. J Neurosurgi Anesthesiol 2013; 25(2): 212.
  • Nagele P, Hammerle AF. Sevoflurane and miva- curium in a patient with Huntington’s chorea. Br J Anaesth 2000; 85(2):320-321.
  • Gıllı E, Bartoloni A, Fiacco F, Dall’antonia F. Anaesthetic management in a case of Hun- tington’s Chorea; Case Report. Minerva Anest- esiol 2006;72(9):756-762.
  • Kivela JE, Sprung J, Southorn PA, Watson JC, Weingarten TN. Anesthetic management of patients with Huntington disease. Anesth Analg 2010;110(2):515-523.
  • Erbaş M, Dost B, Karapolat B. Epidural anes- thesia in a patient with Huntington’s chorea. Gaziantep Med J 2012;18(2): 113-114.
  • Chawla J, Raghavendra M, Lovato L. Epidural Nerve Block. 2013: http://emedicine.med- scape.com/article/149646-overview
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Mustafa Devrim Piroglu This is me

Serkan Tulgar This is me

İbrahim Boga This is me

Tuba Can This is me

İsılay Demir Pıroglu This is me

Zafer Tas This is me

Publication Date August 1, 2015
Published in Issue Year 2015 Volume: 7 Issue: 2

Cite

Vancouver Piroglu MD, Tulgar S, Boga İ, Can T, Pıroglu İD, Tas Z. Huntington Koresi tanılı hastada pron pozisyonda epidural anestezi. Maltepe tıp derg. 2015;7(2):1-2.