Prolonged propriospinal myoclonus following spinal anesthesia for cesarean section: case report and literature review
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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...
KeywordsBupivacaine Baclofen Etomidate Magnesium Sulfate Dantrolene
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