Low dose thiopental anesthetic management of a patient with Huntington's chorea: A case report [Düşük doz tiyopental ile Huntington koresinde anestezi yönetimi: Bir olgu sunumu]

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. huntington's chorea in patients with pharyngeal dysfunction and increased risk of aspiration makes it difficult to decide on the ideal anesthetic technique. the primary goal in general anesthesia for these patients is to provide airway protection and a rapid and safe recovery. in our case,a 59 year old female patient under general anesthesia with cases of subdural hematoma was evacuated,midazolam,remifentanil,tiopental and rocuronium were used,maintenance of anesthesia with desflurane was provided. low dose of thiopental (4 mg kg-1) was used,anticholinergic agents were avoided. at the end of operation after the occurance of spontaneus breathing,patient was extubated in 60 minutes and returned to service.