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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
CLINICAL CASES ANESTHESIA
Minerva Anestesiologica 2006 September;72(9):757-62
language: English, Italian
Anaesthetic management in a case of Huntington’s corea
Gilli E., Bartoloni A., Fiocca F., Dall’Antonia F., Carluccio S.
Institute of Anaesthesiology and General Intensive Care GB Rossi Polyclinic University of Verona, Verona, Italy
There are only a few case reports regarding the anaesthetic management of a patient with Huntington’s chorea and the best anaesthetic technique is yet to be established for those patients which are at higher risk of perioperative complications. We describe the successful management of a 30-year-old patient suffering from Huntington’s chorea admitted for urgent appendectomy. To minimize the risk of aspiration, the trachea was intubated using a fiberscope with the patient sedated and spontaneously breathing. Anaesthesia was maintained with isoflurane and fentanyl and the recovery was rapid and uneventful as the postoperative course.