Anesthesia in a Patient with Huntington’s Chorea

Huntington’s chorea is a hereditary disorder characterized by continuous involuntary movements. Symptoms usually occur between the ages of 30 and 45 years and include choreatic movements, progressive mental deterioration, and ataxia. Various anesthetic techniques have been tried in these patients, both regional as well as general anesthesia. These patients are of special concern to anesthesiologists with respect to preoperative assessment and securing intravenous access due to their continuous movements. Such patients have to be managed with respect to providing airway protection and ensuring rapid and safe recovery. We report a case of Huntington’s chorea who was anesthetized successfully for removal of foreign body cricopharynx without any deleterious postoperative outcome.