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A Suspected Case of Central Anticholinergic Syndrome after N2O-O2-Propofol Anesthesia / 대한마취과학회지
Korean Journal of Anesthesiology ; : 764-768, 2000.
Article in Korean | WPRIM | ID: wpr-154607
ABSTRACT
Central anticholinergic syndrome (CAS) is the clinical picture of the central cholinergic blockade. Many drugs used in anesthesia may cause blockade of central cholinergic neurotransmission. Early diagnosis of CAS is very important clinically, CAS's effects are broad and life-threatening. However, it is difficult to find physostigmine in Korea, which is essential to confirm a diagnosis for CAS. An 18-year-old female who was diagnosed with hyperhydrosis underwent a thoracoscopic sympathicotomy. She received N2O-O2-Propofol anesthesia. The anesthesia was unevenful, but postoperatively, she suffered from drowsiness, fever, mydriasis, stiffness of the left upper and lower extremities, and seizures. All tests to seek the cause of CAS such as blood chemistry, brain CT, brain MRI, and CSF test, were normal. She completely recovered without any sequelae after 3 days in ICU. Though it was not confirmed with physostigmine, we report the case to be suspected CAS by all other indications.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Physostigmine / Seizures / Sleep Stages / Brain / Brain Chemistry / Magnetic Resonance Imaging / Mydriasis / Synaptic Transmission / Lower Extremity / Early Diagnosis Type of study: Diagnostic study / Screening study Limits: Adolescent / Female / Humans Country/Region as subject: Asia Language: Korean Journal: Korean Journal of Anesthesiology Year: 2000 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Physostigmine / Seizures / Sleep Stages / Brain / Brain Chemistry / Magnetic Resonance Imaging / Mydriasis / Synaptic Transmission / Lower Extremity / Early Diagnosis Type of study: Diagnostic study / Screening study Limits: Adolescent / Female / Humans Country/Region as subject: Asia Language: Korean Journal: Korean Journal of Anesthesiology Year: 2000 Type: Article