Shahbaz Saad, Federico Ciardi, Nathan Praschan, Brittani Bungart, Michael Fettiplace
{"title":"Propofol Exposure Precipitating a Functional Movement Disorder: A Case Report.","authors":"Shahbaz Saad, Federico Ciardi, Nathan Praschan, Brittani Bungart, Michael Fettiplace","doi":"10.1155/cria/8850185","DOIUrl":null,"url":null,"abstract":"<p><p>Drug-induced movement disorders are a rare but distressing complication of many anesthetic agents. When such reactions occur, it is difficult to identify a causative agent. We report a case of recurrent ataxia, dysarthria, chorea, and tremors following multiple anesthetics in a 32-year-old patient with a history of significant postoperative nausea and vomiting. Over the course of four anesthetics, the exclusion of propofol, along with collaborative planning via a biopsychosocial approach, prevented the onset of a functional movement disorder. Therefore, for the first time, we highlight a case of functional movement disorder precipitated by intraoperative propofol.</p>","PeriodicalId":36504,"journal":{"name":"Case Reports in Anesthesiology","volume":"2025 ","pages":"8850185"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416804/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Anesthesiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/cria/8850185","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Drug-induced movement disorders are a rare but distressing complication of many anesthetic agents. When such reactions occur, it is difficult to identify a causative agent. We report a case of recurrent ataxia, dysarthria, chorea, and tremors following multiple anesthetics in a 32-year-old patient with a history of significant postoperative nausea and vomiting. Over the course of four anesthetics, the exclusion of propofol, along with collaborative planning via a biopsychosocial approach, prevented the onset of a functional movement disorder. Therefore, for the first time, we highlight a case of functional movement disorder precipitated by intraoperative propofol.