Abstract
A 37-year old patient was anaesthetised twice within 4 weeks for surgery of a vertebral disc prolapse. The first anaesthesia was performed with volatile anaesthetics without any anomalies. After the second operation in total intravenous anaesthesia with propofol and alfentanil the excitatory form of a central anticholinergic syndrome occurred. The application of physostigmine resulted in an immediate and complete disappearance of the symptoms.
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