Korean J Anesthesiol.  2004 May;46(5):632-635. 10.4097/kjae.2004.46.5.632.

Mental Change with Seizure after Propofol-N2O Anesthesia for Thoracoscopic Sympathectomy: A case report

• Bang SR
• Kim JA

• KMID: 2091833
• DOI: http://doi.org/10.4097/kjae.2004.46.5.632

Abstract

We experienced a case of postoperative mental change with seizure after propofol-N2O anesthesia for thoracoscopic sympathectomy. A 23-year-old male patient was anesthetized with N2O-O2-propofol, and postoperative pain control was achieved with intravenous morphine. Bilateral electrocauterization of the upper dorsal sympathetic chain at the T2 and T3 level was performed with thoracoscopy. Thoracoscopy was done with carbon dioxide insufflation. In the postoperative recovery room, the patient experienced seizure, fever and a mental change. He was transferred to the intensive care unit and treated with acyclovir, mannitol, diphenylhydantoin and dexamethasone. Fourteen days after the operation, the patient was discharged with a clear mentality.

Keyword

fever; propofol; seizure; thoracoscopic sympathectomy

MeSH Terms

Acyclovir
Anesthesia*
Carbon Dioxide
Dexamethasone
Fever
Humans
Insufflation
Intensive Care Units
Male
Mannitol
Morphine
Pain, Postoperative
Phenytoin
Propofol
Recovery Room
Seizures*
Seizures, Febrile
Sympathectomy*
Thoracoscopy
Young Adult
Acyclovir
Carbon Dioxide
Dexamethasone
Mannitol
Morphine
Phenytoin
Propofol