Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report
LEONARD J. SOLONIUK
1, 2, 3, 4, 5
,
Jonathan Jones
5
,
Christopher Baker
5
,
Mira Bishawi
5
,
Ioana Pasca
1, 3, 5, 6
,
Ashish Sinha
3, 7
1
Department of Anesthesiology, Loma Linda University, Loma Linda, California
|
2
Department of Gynecology and Obstetrics, Loma Linda University, Loma Linda, California
|
4
Department of Gynecology and Obstetrics, Riverside University Health System Medical Center, Moreno Valley, California
|
5
Department of Anesthesiology and Perioperative Medicine, Riverside University Health System Medical Center, Moreno Valley, California
|
Publication type: Journal Article
Publication date: 2025-02-28
scimago Q4
wos Q4
SJR: 0.223
CiteScore: 0.9
Impact factor: 0.6
ISSN: 25753126
Abstract
The rarity of Huntington’s disease (HD) parturients implies that anesthesiologists have little exposure to the management of these patients. We explore techniques for the management of a 21-year-old parturient with symptomatic HD who underwent successful neuraxial anesthesia for labor and subsequent cesarean delivery. We provide guidance on perioperative medications for comorbidities associated with HD. Dexmedetomidine, which we administered neuraxially, appears to have significant potential for the perioperative diminution of choreiform movements. Current anesthetic management of HD cannot be informed by traditional research methodology and therefore much information must be gleaned from the limited available case reports.
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SOLONIUK L. et al. Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report // A&A practice. 2025. Vol. 19. No. 3. p. e01926.
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SOLONIUK L., Jones J., Baker C., Bishawi M., Pasca I., Sinha A. Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report // A&A practice. 2025. Vol. 19. No. 3. p. e01926.
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TY - JOUR
DO - 10.1213/xaa.0000000000001926
UR - https://journals.lww.com/10.1213/XAA.0000000000001926
TI - Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report
T2 - A&A practice
AU - SOLONIUK, LEONARD J.
AU - Jones, Jonathan
AU - Baker, Christopher
AU - Bishawi, Mira
AU - Pasca, Ioana
AU - Sinha, Ashish
PY - 2025
DA - 2025/02/28
PB - Ovid Technologies (Wolters Kluwer Health)
SP - e01926
IS - 3
VL - 19
SN - 2575-3126
ER -
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BibTex (up to 50 authors)
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@article{2025_SOLONIUK,
author = {LEONARD J. SOLONIUK and Jonathan Jones and Christopher Baker and Mira Bishawi and Ioana Pasca and Ashish Sinha},
title = {Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report},
journal = {A&A practice},
year = {2025},
volume = {19},
publisher = {Ovid Technologies (Wolters Kluwer Health)},
month = {feb},
url = {https://journals.lww.com/10.1213/XAA.0000000000001926},
number = {3},
pages = {e01926},
doi = {10.1213/xaa.0000000000001926}
}
Cite this
MLA
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SOLONIUK, LEONARD J., et al. “Neuraxial Analgesia and Anesthesia for Labor and Cesarean Delivery in a Patient with Juvenile Huntington Disease: A Case Report.” A&A practice, vol. 19, no. 3, Feb. 2025, p. e01926. https://journals.lww.com/10.1213/XAA.0000000000001926.