| Autor: |
Jones TE; From the Departments of Anesthesiology., Cibula JE; Neurology, University of Florida College of Medicine, Gainesville, Florida., Bohannon D; From the Departments of Anesthesiology., Seubert CN; From the Departments of Anesthesiology. |
| Jazyk: |
angličtina |
| Zdroj: |
A&A practice [A A Pract] 2018 May 15; Vol. 10 (10), pp. 267-271. |
| DOI: |
10.1213/XAA.0000000000000682 |
| Abstrakt: |
Not everything that shakes is an epileptic seizure. We present a patient who repeatedly exhibited severe shaking at emergence from general anesthesia. Her nonepileptic myoclonus was mistaken for a refractory seizure and treated with benzodiazepines and intravenous anesthetics. The resulting depressed level of consciousness rendered myoclonus clinically indistinguishable from refractory seizures. Over the course of 6 procedures, we found that levetiracetam, a first-line antiepileptic drug, effectively suppressed her myoclonus. The episodic nature of perioperative anesthesia care presents a challenge for differentiating myoclonus from seizure while balancing the concerns raised by different surgical procedures, rare comorbidities, and the subjective patient experience. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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