Postoperative myoclonic movement following mandibular cyst enucleation under general anesthesia: A case report

Alaa Ali M Elzohry1,2, Osama G Alghamdi3, Mohammed L Helmy2,4

  • 1Department of Anesthesia, ICU and Pain Relief, South Egypt Cancer Institute, Assiut University, Egypt.

Insights

Postoperative myoclonic movements (PMM) are a rare neurologic complication following general anesthesia (GA). This case report details a PMM event in the post-anesthetic care unit, highlighting the need for further research into its causes.

Area of Science:

  • Anesthesiology
  • Neurology

Background:

  • Postoperative myoclonic movement (PMM) is an uncommon neurologic complication.
  • The precise etiology of PMM following general anesthesia (GA) remains undetermined.
  • Potential triggers include anesthetic agents, psychological stress, and surgical stress.

Observation:

  • This report describes a case of PMM occurring in the post-anesthetic care unit (PACU).
  • The patient was apparently healthy prior to the procedure.
  • The event manifested after the administration of general anesthesia.

Findings:

  • The case presents a specific instance of PMM in a PACU setting.
  • It underscores the unpredictable nature of PMM in patients undergoing GA.
  • Further investigation is warranted to elucidate the underlying mechanisms of PMM.

Implications:

  • Understanding PMM triggers is crucial for improving patient safety post-anesthesia.
  • This case may prompt further research into the neurophysiologic effects of GA.
  • Clinical vigilance for PMM in the PACU is recommended for apparently healthy individuals.