A case report demonstrates safe cesarean delivery under epidural anesthesia in a patient with dopamine-responsive dystonia, highlighting critical anesthetic considerations.
We report a case of a pregnant patient with dopamine-responsive dystonia (DRD; Segawa syndrome) who underwent cesarean delivery under epidural anesthesia. The patient continued levodopa therapy throughout pregnancy and the perioperative period without interruption. Anesthetic management was carefully tailored to prevent exacerbation of dystonic symptoms. Hemodynamic stability was maintained throughout surgery, and no perioperative neurological complications were observed. This case highlights the feasibility and safety of neuraxial anesthesia with continued dopaminergic therapy and underscores important anesthetic considerations for cesarean delivery in patients with DRD.
No takes yet. Share an insight, caveat, or question.
Choi et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: