Korean J Anesthesiol.  2013 Mar;64(3):262-264. 10.4097/kjae.2013.64.3.262.

Anesthetic management of a patient with Huntington's chorea: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea. mdyjwchk@khu.ac.kr

Abstract

Huntington's chorea is a rare hereditary disorder of the nervous system. It is inherited as an autosomal dominant disorder and is characterized by progressive chorea, dementia and psychiatric disturbances. The best anesthetic technique is yet to be established for these patients with increased risk of aspiration due to involvement of pharyngeal muscles and an exaggerated response to sodium thiopental and succinylcholine. The primary goal in general anesthesia for these patients is to provide airway protection and a rapid and safe recovery. We report the anesthetic management of a 51-year-old patient with Huntington's chorea admitted for an emergency operation.

Keyword

Bronchoscope; Huntington disease; Intubation

MeSH Terms

Anesthesia, General
Bronchoscopes
Chorea
Dementia
Emergencies
Humans
Huntington Disease
Intubation
Nervous System
Pharyngeal Muscles
Sodium
Succinylcholine
Thiopental
Sodium
Succinylcholine
Thiopental
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