Anesthetic Management of a Patient With Restless Legs Syndrome: A Case Report
| Autor: | Yoshihiro Momota, Yasuo M. Tsutsumi, Akio Himejima, Naohiro Ohshita, Kazuhiro Kaneda, Teruyuki Yasutome, Yoshiko Matsuda, Koji Yamagata |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Exacerbation medicine.medical_treatment Remifentanil Case Reports Bed rest Sevoflurane Young Adult 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Restless Legs Syndrome mental disorders medicine Humans Restless legs syndrome Dexmedetomidine Anesthetics business.industry medicine.disease Anesthesiology and Pain Medicine Anesthesia Anesthetic Female Propofol business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Anesth Prog |
| ISSN: | 1878-7177 0003-3006 |
| DOI: | 10.2344/anpr-67-02-10 |
| Popis: | Restless legs syndrome (RLS) is a neurological sensory disorder associated with sensory and motor symptoms that most commonly occur at night and during periods of rest. It is characterized by altered or abnormal sensations primarily in the legs and the urge to move the associated limbs. Perioperative procedures, including general anesthesia, can cause exacerbations of RLS. This is a case report of a suspected RLS exacerbation in a 22-year-old woman who had no formal diagnosis of RLS despite reporting symptoms that met all essential diagnostic criteria by the International RLS Study Group. Despite her previous diagnoses of dehydration induced-muscle pain or nocturnal cramps, we suspected her to have RLS. The patient underwent general anesthesia for a bilateral sagittal split ramus osteotomy using a combined inhalational and intravenous anesthetic technique with sevoflurane, propofol, remifentanil, and dexmedetomidine. After successful completion of the surgery and returning to the ward, she began moving her lower extremities and complaining of unpleasant sensations in both ankles. Bed rest exacerbated the suspected RLS symptoms despite a continuous infusion of dexmedetomidine. The RLS symptoms continued to worsen and spread to her upper extremities. After increasing the dexmedetomidine infusion from 0.2 to 0.4 μg/kg/h, almost all symptoms improved, and she slept for 3 hours. Upon awakening, the unpleasant sensations were completely relieved by walking and stretching. The patient was formally diagnosed with RLS by a neurologist after discharge. In this case, an infusion of dexmedetomidine was helpful in successfully managing a suspected exacerbation of RLS. |
| Databáze: | OpenAIRE |
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