If you're planing on having surgery you may want to read this artical first, www.mindyourpsandqs.com Beat of luck, Darlin
That's an interesting problem that I've never come across. If you of course need the carotid surgery, then you need it - restless legs or not. Usually, there should be some kind of paralytic agent on board intra-operatively that should theoretically make your muscles temporarily paralyzed. One thing you can do is talk to your neurologist and at the pre-op appointment with anesthesia to let them know. You (depending on your kidney/liver function, age, and other medical problems) may need a higher dose of the paralytic agent, or perhaps a different kind that was tried before. THere are many options for you, and your anesthesiologist should be aware of the problem. Typically they titrate the amount of paralytic agent needed thru an IV during the operation (which means it can be given very quickly as needed in boluses) and can check the level of paralysis with a special little machine that looks at the muscles under stimulation. Should not be a problem. Good luck.