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Parkinson’s Disease

  • Jie Luo
  • Jie ZhouEmail author
Chapter

Abstract

Parkinson’s disease (PD) requires maintained medication, but the effects of PD and medication on maternal and fetal outcomes have not been well studied. The mode of delivery should be based on obstetric indications. Regional anesthesia is preferred, though positioning and tremor may make placement challenging. General anesthesia carries added risk to the already increased problems encountered during pregnancy. If general anesthesia is required, levodopa or apomorphine can be administered intraoperatively. Attentions should be paid to the selection of anesthetics regarding potential dopaminergic and/or extrapyramidal effects and conditions during emergence.

Keywords

Parkinson’s disease Degenerative neurologic disorder Bradykinesia Muscular rigidity Dopamine agonists 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA

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