Abstract
A 51-year-old male with right cerebral infarction underwent distal gastrectomy for gastric cancer under continuous propofol infusion combined with epidural anesthesia. Five ml of 2% mepivacaine per 45 minutes was given for epidural anesthesia. The total dose of mepivacaine was 700mg. Continuous propofol infusion was discontinued at the end of surgery. Although the patient recovered well from anesthesia in the operating room, convulsion of the right upper extremity occurred immediately after admission to the ICU. Propofol might be a factor in causing the convulsion of the right arm.
