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Budde AO, Freestone-Bernd M, Vaida S. Rhythmic movement disorder after general anesthesia. J Anaesthesiol Clin Pharmacol. 2012;28(3):371-3doi: 10.4103/0970-9185.98347.
Budde, A. O., Freestone-Bernd, M., & Vaida, S. (2012). Rhythmic movement disorder after general anesthesia. Journal of anaesthesiology, clinical pharmacology, 28(3), 371-3. https://doi.org/10.4103/0970-9185.98347
Budde, Arne O, et al. "Rhythmic movement disorder after general anesthesia." Journal of anaesthesiology, clinical pharmacology vol. 28,3 (2012): 371-3. doi: https://doi.org/10.4103/0970-9185.98347
Budde AO, Freestone-Bernd M, Vaida S. Rhythmic movement disorder after general anesthesia. J Anaesthesiol Clin Pharmacol. 2012 Jul;28(3):371-3. doi: 10.4103/0970-9185.98347. PMID: 22869949; PMCID: PMC3409952.
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J Anaesthesiol Clin Pharmacol. 2012 Jul;28(3):371-3. doi: 10.4103/0970-9185.98347.

Rhythmic movement disorder after general anesthesia.

Journal of anaesthesiology, clinical pharmacology

Arne O Budde, Megan Freestone-Bernd, Sonia Vaida

Affiliations

  1. Department of Anesthesiology, Penn State University College of Medicine, Milton S. Hershey Medical Center, PA USA.

PMID: 22869949 PMCID: PMC3409952 DOI: 10.4103/0970-9185.98347

Abstract

Dystonic movements after general anesthesia are very rare. The differential diagnosis includes adverse drug reaction, local anesthetic reaction, emergence delirium, hysterical response, and shivering. We present a case of a 10-year-old, otherwise healthy girl undergoing outpatient foot surgery. Involuntary jerking movements of her arms and torso every time she would drift off to sleep started about 2.5 hours after emergence from general anesthesia. The patient was easily arousable and absolutely unaware of the movements. These movements lasted for several days before they resolved completely. We believe to present the first case of sleep-related rhythmic movement disorder after general anesthesia, considering the nature of the movements in our patient.

Keywords: Dystonic movements; Ondansetron; Propofol; general anesthesia; postoperative; sleep-related rhythmic movement disorder

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