Myoclonic movement after general anesthesia: A case report and review of the literature
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. A 31-year-old female patient without any past medical history underwent hip ar...
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| Veröffentlicht in: | Medicine (Baltimore) 2018-03, Vol.97 (12), p.e0141-e0141 |
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| container_issue | 12 |
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| container_title | Medicine (Baltimore) |
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| creator | Lee, Je Jin Lim, Seho Lee, Yeon Sil Shin, Hwa-Yong Baek, Chong-Wha Jung, Yong Hun Woo, Young Cheol Park, Yong-Hee |
| description | 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.
A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia.
Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room.
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.
There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event.
Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia. |
| doi_str_mv | 10.1097/MD.0000000000010141 |
| format | Article |
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A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia.
Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room.
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.
There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event.
Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000010141</identifier><identifier>PMID: 29561417</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health</publisher><subject>Adult ; Analgesia, Patient-Controlled ; Anesthesia, General - adverse effects ; Anticonvulsants - therapeutic use ; Arthroscopy ; Clinical Case Report ; Female ; Hip - surgery ; Humans ; Myoclonus - drug therapy ; Myoclonus - etiology ; Upper Extremity</subject><ispartof>Medicine (Baltimore), 2018-03, Vol.97 (12), p.e0141-e0141</ispartof><rights>Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c336t-26eb94b4563db11aec3760b30b425fd3dc475908e0b5be5a265c397e57b5ddb43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895320/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895320/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29561417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Je Jin</creatorcontrib><creatorcontrib>Lim, Seho</creatorcontrib><creatorcontrib>Lee, Yeon Sil</creatorcontrib><creatorcontrib>Shin, Hwa-Yong</creatorcontrib><creatorcontrib>Baek, Chong-Wha</creatorcontrib><creatorcontrib>Jung, Yong Hun</creatorcontrib><creatorcontrib>Woo, Young Cheol</creatorcontrib><creatorcontrib>Park, Yong-Hee</creatorcontrib><title>Myoclonic movement after general anesthesia: A case report and review of the literature</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>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.
A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia.
Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room.
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.
There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event.
Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia.</description><subject>Adult</subject><subject>Analgesia, Patient-Controlled</subject><subject>Anesthesia, General - adverse effects</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Arthroscopy</subject><subject>Clinical Case Report</subject><subject>Female</subject><subject>Hip - surgery</subject><subject>Humans</subject><subject>Myoclonus - drug therapy</subject><subject>Myoclonus - etiology</subject><subject>Upper Extremity</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUUlLxDAUDqI44_ILBMnRSzV7ph6EwR1m8KJ4DEn6qpW2GZPOiP_eiLvvkgf5tseH0B4lh5SU-mh-dkh-hhIq6BoaU8lVIUsl1tGYECYLXWoxQlspPWUQ10xsohErpcpwPUb389fg29A3HndhBR30A7b1ABE_QA_Rttj2kIZHSI09xlPsbQIcYRFixvVVXlcNvOBQ44zBbZOZdlhG2EEbtW0T7H6-2-ju4vz29KqY3Vxen05nhedcDQVT4ErhhFS8cpRa8Fwr4jhxgsm64pUXWpZkAsRJB9IyJT0vNUjtZFU5wbfRyYfuYuk6qHzOn0ObRWw6G19NsI35-9M3j-YhrIyclJIzkgUOPgVieF7mU03XJA9tm-8Oy2QYoUpmS_buxT-gPoaUItTfNpSY90rM_Mz8rySz9n8n_OZ8dcDfALXCiEk</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Lee, Je Jin</creator><creator>Lim, Seho</creator><creator>Lee, Yeon Sil</creator><creator>Shin, Hwa-Yong</creator><creator>Baek, Chong-Wha</creator><creator>Jung, Yong Hun</creator><creator>Woo, Young Cheol</creator><creator>Park, Yong-Hee</creator><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>Myoclonic movement after general anesthesia: A case report and review of the literature</title><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-26eb94b4563db11aec3760b30b425fd3dc475908e0b5be5a265c397e57b5ddb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Analgesia, Patient-Controlled</topic><topic>Anesthesia, General - adverse effects</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Arthroscopy</topic><topic>Clinical Case Report</topic><topic>Female</topic><topic>Hip - surgery</topic><topic>Humans</topic><topic>Myoclonus - drug therapy</topic><topic>Myoclonus - etiology</topic><topic>Upper Extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Je Jin</creatorcontrib><creatorcontrib>Lim, Seho</creatorcontrib><creatorcontrib>Lee, Yeon Sil</creatorcontrib><creatorcontrib>Shin, Hwa-Yong</creatorcontrib><creatorcontrib>Baek, Chong-Wha</creatorcontrib><creatorcontrib>Jung, Yong Hun</creatorcontrib><creatorcontrib>Woo, Young Cheol</creatorcontrib><creatorcontrib>Park, Yong-Hee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Je Jin</au><au>Lim, Seho</au><au>Lee, Yeon Sil</au><au>Shin, Hwa-Yong</au><au>Baek, Chong-Wha</au><au>Jung, Yong Hun</au><au>Woo, Young Cheol</au><au>Park, Yong-Hee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myoclonic movement after general anesthesia: A case report and review of the literature</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>97</volume><issue>12</issue><spage>e0141</spage><epage>e0141</epage><pages>e0141-e0141</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>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.
A 31-year-old female patient without any past medical history underwent hip arthroscopic surgery under general anesthesia.
Although there was no specific event during the operation, she showed a sudden myoclonic movement confined to left upper extremity in recovery room.
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.
There was no significant abnormality in electroencephalography or brain diffusion magnetic resonance imaging, which was taken after the event.
Clinicians should carefully consider the pharmacologic characteristics and neurologic adverse effects of all administered agents when myoclonus occurs after general anesthesia.</abstract><cop>United States</cop><pub>Wolters Kluwer Health</pub><pmid>29561417</pmid><doi>10.1097/MD.0000000000010141</doi><oa>free_for_read</oa></addata></record> |
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| source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Analgesia, Patient-Controlled Anesthesia, General - adverse effects Anticonvulsants - therapeutic use Arthroscopy Clinical Case Report Female Hip - surgery Humans Myoclonus - drug therapy Myoclonus - etiology Upper Extremity |
| title | Myoclonic movement after general anesthesia: A case report and review of the literature |
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