Propofol-induced opisthotonos in the post-anaesthesia care unit
Abstract
We report a case of opisthotonos following propofol for induction of general anaesthesia in a man in his 30s who underwent elective dental extraction. Within minutes of arrival in the post-anaesthesia care unit, he developed intermittent involuntary motor episodes characterised by retrocollis, axial hyperextension and decorticate-like posturing. He remained alert and oriented throughout, and neuroimaging and laboratory studies were unremarkable. The patient later reported a similar experience after a previous anaesthetic involving propofol. This case highlights the importance of recognising propofol-induced opisthotonos as a rare but distinct clinical entity that may be mistaken for seizure or stroke.
Fields of Study & Subjects
Anesthesia and Sedative Agents
Electroconvulsive Therapy Studies
Intensive Care Unit Cognitive Disorders
Publication details
- Journal / source
- BMJ Case Reports
- Publisher
- BMJ
- Volume
- 19
- Issue
- 7
- Pages
- e270690–e270690
- Publication date
- 1 July 2026
- Language
- EN