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Archives of Gynecology and Obstetrics

, Volume 286, Issue 1, pp 271–272 | Cite as

Prolonged propriospinal myoclonus following spinal anesthesia for cesarean section: case report and literature review

  • Anna Lev
  • Isabell Korn-Lubezki
  • Bettina Steiner-Birmanns
  • Arnon Samueloff
  • Yaakov Gozal
  • Alexander IoscovichEmail author
Letter to the Editor

Dear Editor,

Spinal myoclonus is a rare disorder characterized by sudden, shock-like, involuntary jerks that arise from the axial muscles and spread both rostrally and caudally through slow polysynaptic pathways [1, 2]. It has been reported as an adverse effect of anesthetic drugs, such as bupivacaine, morphine, propofol; psychiatric drugs, such as levodopa, imipramine; antiemetic drugs, such as metoclopramide, odansetron; antibiotics, and antihistamine drugs [3, 4]. With the patient’s agreement, we report case of prolonged spinal myoclonus following uneventful spinal anesthesia with sedation in an otherwise healthy woman undergoing elective cesarean section, our patient has had previously uneventful intrathecal and, later, general anesthesia,

A 28-year-old healthy woman presented for term elective cesarean section (CS) because of two previous CS. A spinal block was performed at the Lumbar 3–4 level using a 27-gauge Whitacre pencil point spinal needle and 8 mg of 0.5% hyperbaric...

Keywords

Bupivacaine Baclofen Etomidate Magnesium Sulfate Dantrolene 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

References

  1. 1.
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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Anna Lev
    • 1
  • Isabell Korn-Lubezki
    • 2
  • Bettina Steiner-Birmanns
    • 2
  • Arnon Samueloff
    • 3
  • Yaakov Gozal
    • 1
  • Alexander Ioscovich
    • 1
    Email author
  1. 1.Department of Anesthesiology, Perioperative Medicine and Pain TreatmentShaare Zedek Medical CenterJerusalemIsrael
  2. 2.Department of NeurologyShaare Zedek Medical CenterJerusalemIsrael
  3. 3.Department of Obstetrics and GynecologyShaare Zedek Medical CenterJerusalemIsrael

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