Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia: A Case Report.

Lersch F; Jerney P; Kaiser H; Willi C; Steck K; Hight D; Zubler F

doi:10.1213/XAA.0000000000001183

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Journal article

Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia: A Case Report.

Lersch F From the Department of Anesthesiology and Pain Medicine.
Jerney P From the Department of Anesthesiology and Pain Medicine.
Kaiser H From the Department of Anesthesiology and Pain Medicine.
Willi C From the Department of Anesthesiology and Pain Medicine.
Steck K From the Department of Anesthesiology and Pain Medicine.
Hight D From the Department of Anesthesiology and Pain Medicine.
Zubler F Sleep-Wake-Epilepsy-Center, Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

2020-04-01

Published in:

A&A practice. - 2020

English Motor 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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