A case of spinal myoclonus in a patient with elective cesarean section

被引：5

作者：

Tohru Shiratori

Kunihisa Hotta

Masaaki Satoh

Naoko Kondo

Junji Ikeda

Shinji Sasao

机构：

[1] Department of Anesthesiology, Ina Central Hospital, 1313-1 Koshiroukubo, Ina, Nagano

[2] Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, 329-0498, Tochigi

[3] Department of Neurology, Ina Central Hospital, 1313-1 Koshiroukubo, Ina, Nagano

[4] Department of Orthopedic Surgery, Ina Central Hospital, 1313-1 Koshiroukubo, Ina, Nagano

来源：

JA Clinical Reports | / 4卷 / 1期

关键词：

Cesarean section; Involuntary movement; Local anesthetic; Movement disorder; Myoclonus; Neuraxial anesthesia; Spinal anesthesia;

D O I：

10.1186/s40981-018-0182-1

中图分类号：

学科分类号：

摘要：

Background: Transient myoclonic involuntary movements, typically referred to as spinal myoclonus (SM), rarely develop in the extremities following neuraxial anesthesia (NA). NA indications in patients with history of SM following NA (SM-NA) are unknown. Case presentation: A 33-year-old woman developed SM-NA after elective cesarean section (CS). Approximately 130 min after spinal anesthesia induction, she began exhibiting involuntary movements, which became most severe after approximately 3 h. The involuntary movements gradually decreased without treatments and disappeared after approximately 5 h. The patient underwent CS on three occasions. The first CS (age, 29 years) was under a combination of spinal and epidural anesthesia. The third CS (age, 35 years) was completed using only spinal anesthesia. There were no neurological events during the postoperative courses for the first and third CS. Conclusions: SM-NA can unexpectedly occur, and history of SM-NA may not be contraindicative for repeated NA. © 2018, The Author(s).

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