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Mayo Clin Proc. 2017 Nov;92(11):1682-1687. doi: 10.1016/j.mayocp.2017.08.022. Epub 2017 Nov 1.

Propofol Frenzy: Clinical Spectrum in 3 Patients.

Author information

1
Department of Neurology, Mayo Clinic, Rochester, MN.
2
Department of Anesthesiology, Mayo Clinic, Rochester, MN.
3
Department of Neurology, Mayo Clinic, Rochester, MN. Electronic address: wijde@mayo.edu.

Abstract

Postsedation neuroexcitation is sometimes attributed to intravenous injection of the sedative-hypnotic drug propofol. The movements associated with these events have strongly suggested convulsive activity, but they rarely have been comprehensively evaluated. We present video recordings of 3 healthy young patients who underwent elective surgery under conscious sedation and emerged from sedation with transient but repetitive violent motor activity and impaired consciousness. These manifestations required considerable mobilization of multiple health care workers to protect the patient from inflicting harm. All patients received propofol, and all fully recovered without adverse sequelae. We postulate that these movements are propofol related. Importantly, we found no evidence of seizures clinically or electrographically.

PMID:
29101936
DOI:
10.1016/j.mayocp.2017.08.022
[Indexed for MEDLINE]

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