Myoclonus-like involuntary movements following cesarean delivery epidural anesthesia.

Abstract

Spinal myoclonus following neuraxial anesthesia is rare. This report describes a case of myoclonus-like involuntary movement that occurred during the recovery from epidural anesthesia for a cesarean delivery. The patient's symptom improved with the administration of benzodiazepine, and the patient recovered with no neurological sequelae. In conclusion, epidural anesthesia can cause spinal myoclonus, which can be treated with a benzodiazepine.

• Authors: Hee Yong Kang, Sang Wook Lee, Eun Pyo Hong, Yeo Hae Sim, Su-Mi Lee, Sung Wook Park, Jong-Man Kang
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 34 Pg. 392-4 (Nov 2016) ISSN: 1873-4529 [Electronic] United States
• PMID: 27687419 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2016 Elsevier Inc. All rights reserved.

Chemical References

• Anesthetics, Local
• Anticonvulsants
• Lidocaine
• Levobupivacaine
• Midazolam
• Bupivacaine

Topics

• Administration, Intravenous
• Adult
• Anesthesia Recovery Period
• Anesthesia, Epidural (adverse effects)
• Anesthesia, Obstetrical (adverse effects)
• Anesthetics, Local (administration & dosage)
• Anticonvulsants (administration & dosage, therapeutic use)
• Bupivacaine (administration & dosage, analogs & derivatives)
• Cesarean Section
• Female
• Humans
• Injections, Epidural
• Levobupivacaine
• Lidocaine (administration & dosage)
• Midazolam (administration & dosage, therapeutic use)
• Myoclonus (drug therapy, etiology)
• Pregnancy