Work

Propofol-Induced Fasciculations in a Patient With Obstructive Sleep Apnea: A Case Report

Year: 2024

Type: article

Abstract: We report a case of a 39-year-old male patient who developed propofol-induced fasciculations during the induction of general anesthesia. The patient had a history of moderate obstructive sleep apnea and was intolerant to continuous positive airway pressure therapy. He subsequently underwent the insertion of a hypoglossal nerve stimulator as a viable surgical intervention. The patient had a drug-induced sleep endoscopy that showed a 100% obstruction at the velum and the oropharynx, mainly in the anteroposterior and lateral directions. The patient experienced a smooth induction and emergence from general anesthesia, except for a brief episode of myoclonus-like movement in the bilateral upper extremities after propofol administration. The patient recovered well and reported an improvement in his sleep quality and daytime symptoms.

Source: Cureus

DOI: 10.7759/cureus.75559

Authors: Jaden Y Fang, Tomohiro Yamamoto, Satoshi Yamamoto

Institutions: Gunma University, The University of Texas Medical Branch at Galveston, Gunma University Hospital

Language: English

Topic: Anesthesia and Sedative Agents

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405267948