Cesarean Delivery in a Patient With Segawa Syndrome (Dopamine-Responsive Dystonia) Under Epidural Anesthesia: A Case Report

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.