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Myoclonic movement after general anesthesia: A case report and review of the literature

RATIONALE: Myoclonic movement is a rare side effect after general anesthesia. Since we use various intravenous agents during general anesthesia recently, it is troublesome to find out the exact cause of this neurologic complication. PATIENT CONCERNS: A 31-year-old female patient without any past med...

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Autores principales: Lee, Je Jin, Lim, Seho, Lee, Yeon Sil, Shin, Hwa-Yong, Baek, Chong-Wha, Jung, Yong Hun, Woo, Young Cheol, Park, Yong-Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895320/
https://www.ncbi.nlm.nih.gov/pubmed/29561417
http://dx.doi.org/10.1097/MD.0000000000010141
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author Lee, Je Jin
Lim, Seho
Lee, Yeon Sil
Shin, Hwa-Yong
Baek, Chong-Wha
Jung, Yong Hun
Woo, Young Cheol
Park, Yong-Hee
author_facet Lee, Je Jin
Lim, Seho
Lee, Yeon Sil
Shin, Hwa-Yong
Baek, Chong-Wha
Jung, Yong Hun
Woo, Young Cheol
Park, Yong-Hee
author_sort Lee, Je Jin
collection PubMed
description RATIONALE: Myoclonic movement is a rare side effect after general anesthesia. Since we use various intravenous agents during general anesthesia recently, it is troublesome to find out the exact cause of this neurologic complication. PATIENT CONCERNS: A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia. DIAGNOSES: Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room. INTERVENTIONS: We administered anticonvulsant agents intrvenously, the myoclonus was stopped shortly but recurred over again. As we stopped the patient-controlled analgesia due to nausea, the symptom halted. OUTCOMES: There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event. LESSONS: Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia.
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spelling pubmed-58953202018-04-18 Myoclonic movement after general anesthesia: A case report and review of the literature Lee, Je Jin Lim, Seho Lee, Yeon Sil Shin, Hwa-Yong Baek, Chong-Wha Jung, Yong Hun Woo, Young Cheol Park, Yong-Hee Medicine (Baltimore) 3300 RATIONALE: Myoclonic movement is a rare side effect after general anesthesia. Since we use various intravenous agents during general anesthesia recently, it is troublesome to find out the exact cause of this neurologic complication. PATIENT CONCERNS: A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia. DIAGNOSES: Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room. INTERVENTIONS: We administered anticonvulsant agents intrvenously, the myoclonus was stopped shortly but recurred over again. As we stopped the patient-controlled analgesia due to nausea, the symptom halted. OUTCOMES: There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event. LESSONS: Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia. Wolters Kluwer Health 2018-03-23 /pmc/articles/PMC5895320/ /pubmed/29561417 http://dx.doi.org/10.1097/MD.0000000000010141 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle 3300
Lee, Je Jin
Lim, Seho
Lee, Yeon Sil
Shin, Hwa-Yong
Baek, Chong-Wha
Jung, Yong Hun
Woo, Young Cheol
Park, Yong-Hee
Myoclonic movement after general anesthesia: A case report and review of the literature
title Myoclonic movement after general anesthesia: A case report and review of the literature
title_full Myoclonic movement after general anesthesia: A case report and review of the literature
title_fullStr Myoclonic movement after general anesthesia: A case report and review of the literature
title_full_unstemmed Myoclonic movement after general anesthesia: A case report and review of the literature
title_short Myoclonic movement after general anesthesia: A case report and review of the literature
title_sort myoclonic movement after general anesthesia: a case report and review of the literature
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895320/
https://www.ncbi.nlm.nih.gov/pubmed/29561417
http://dx.doi.org/10.1097/MD.0000000000010141
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