Delayed onset refractory dystonic movements following propofol anesthesia.
Neuroexcitation is an uncommon but well recognized side effect of propofol anesthesia and sedation. We present a patient who, despite an intact mental status and without any preexisting movement disorder, experienced delayed onset of involuntary dystonic movements involving head, neck and shoulder for 11 h following emergence from propofol/nitrous oxide anesthesia.
Saravanakumar
K
K
Department of Anaesthesia, The Birmingham Children's Hospital, Birmingham, UK.
Venkatesh
P
P
Bromley
P
P
D000293:Adolescent; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous / Q000009:adverse effects*; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous / Q000009:adverse effects*; D003646:Debridement; D004421:Dystonia / Q000139:chemically induced*; D019416:Head Movements; D006801:Humans; D022125:Lacerations / Q000628:therapy; D008297:Male; D009609:Nitrous Oxide; D015742:Propofol / Q000009:adverse effects*; D012782:Shoulder; D013537:Sutures
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D009609:Nitrous Oxide; D015742:Propofol