Abstract
Abstract
A healthy, 8-year-old girl with a history of hematochezia underwent an uneventful fiber optic colonoscopy with propofol anesthesia. During the postoperative recovery period, she experienced acute-onset muscle rigidity, loss of consciousness, apnea, hypoxia, and hyperthermia. She was administered cardiopulmonary resuscitation and was treated with naloxone, mannitol, and midazolam. She regained consciousness after 14 hours. She underwent cerebral function rehabilitation and was discharged in 1 month without obvious neurologic sequelae. This case illustrates that propofol may affect the developing brain differently from the adult brain. Propofol-induced seizures can lead to life-threatening status epilepticus in children. Immediate diagnosis and effective treatment are essential.
Reference17 articles.
1. Propofol versus thiopental sodium for the treatment of refractory status epilepticus (Review);Prabhakar H, Bindra A, Singh G, Kalaivani M;Evid Based Child Health,2013
2. Seizure-like phenomena and propofol: a systematic review;Walder B, Tramèr M, Seeck M;Neurology,2002
3. Double-blind, randomized study of nalmefene and naloxone in emergency department patients with suspected narcotic overdose;Kaplan J, Marx J, Calabro J, Gin-Shaw S, Spiller J, Spivey W, Gaddis G, Zhao N, Harchelroad F;Ann Emerg Med.,1999
4. Post-anoxic vegetative state: imaging and prognostic perspectives;Stanziano M, Foglia C, Soddu A, Gargano F, Papa M;Funct Neurol.,2011
5. Neonatal hypoxia and seizures;Gillam-Krakauer M, Carter B;Pediatric Rev.,2012