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Dexmedetomidine with low-dose ketamine for cataract surgery under peribulbar block in a patient with Huntington's

Shraddha Naik1, Akshaya N Shetti2, A V Nadkarni1

  • 1Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

Anesthesia, Essays and Researches
|April 18, 2015
PubMed

Insights

Anesthetic management for Huntington's chorea (HC) patients undergoing surgery is not well-established. This case report details the successful anesthetic approach for a 64-year-old patient with HC during cataract surgery.

Area of Science:

  • Neurology
  • Anesthesiology

Background:

  • Huntington's chorea (HC) is a rare, autosomal dominant hereditary neurological disorder.
  • HC presents with progressive chorea, dementia, and psychiatric disturbances, increasing perioperative risks.
  • Limited case reports exist on anesthetic management for HC patients, with no established best technique.

Observation:

  • A 64-year-old patient with a diagnosis of Huntington's chorea was admitted for cataract surgery.
  • The patient's condition presented unique anesthetic challenges due to the known risks associated with HC.

Findings:

  • The report details the specific anesthetic management employed for this patient.
  • The chosen anesthetic technique aimed to mitigate potential perioperative complications associated with HC.

Implications:

  • This case contributes to the limited body of knowledge on anesthetic strategies for Huntington's chorea.
  • Findings may inform future anesthetic planning for HC patients, improving perioperative safety.
  • Further research is needed to establish definitive anesthetic guidelines for Huntington's chorea patients.

Keywords:
CataractHuntington's choreadexmedetomidineketamine

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