Delayed recovery post anesthesia: An atypical presentation of familial hemiplegic migraine

摘要

To the Editor,A 52-yr-old 62-kg female with controlled hypertension presented for a day case excision of a breast fibroadenoma. Previous anesthetics, including a recent dental extraction under general anesthesia, were unremarkable.Anesthesia was induced with midazolam, fentanyl, and propofol, and spontaneous ventilation was supported throughout the case with oxygen/air/sevoflurane via a laryngeal mask airway device. Baseline blood pressure was 124/76 and remained stable throughout the 45-min procedure with no hypotensive spells. Intravenous perioperative analgesia was administered using diclofenac and paracetamol along with dexamethasone and ondansetron for postoperative nausea and vomiting chemoprophylaxis.