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Case Reports
Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia: A Case Report.
- Friedrich Lersch, Pascal Jerney, Heiko Kaiser, Cédric Willi, Katharina Steck, Darren Hight, and Frédéric Zubler.
- From the Department of Anesthesiology and Pain Medicine.
- A A Pract. 2020 Apr 1; 14 (6): e01183.
AbstractMotor activity during general anesthesia (GA) without neuromuscular blockade is often interpreted as reflecting insufficient anesthesia. Here we present the case of an octogenarian undergoing deep sclerectomy with opioid-sparing electroencephalography (EEG)-guided anesthesia. Periodic leg movements (PLM) appeared during ongoing surgery while the patient's raw EEG displayed a pattern of deep anesthesia, evidenced by burst suppression. Recognizing PLM in the context of opioid-sparing GA is of importance for anesthesiologists, as deep anesthesia is not necessarily associated with a decrease in motor activity.
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