Document Detail

Spinal myoclonus after subarachnoid anesthesia with bupivacaine.
MedLine Citation:
PMID:  21920212     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: It is presented in this case report a very rare complication after spinal anesthesia to provide subsidies to the management and therapeutic conduct.
CASE REPORT: This is a 63-year old African-Brazilian patient, ASA I, scheduled for transurethral resection of the prostate (TURP). He underwent subarachnoid anesthesia with bupivacaine (15 mg) without adrenaline. Intercurrences were not observed during puncture, and the patient was positioned for surgery. Soon after positioning the patient, he complained of severe pain in the perineum region followed by involuntary tonic-clonic movements of the lower limbs. The patient was treated with a benzodiazepine to control the myoclonus without response. This episode was followed by significant agitation and the patient was intubated. He was maintained in controlled ventilation and transferred to the Intensive Care Unit. Despite all biochemical and imaging tests performed, an apparent cause was not detected. The medication was not changed and the same batch of anesthetic had been used in other patients that same day without intercurrences.
CONCLUSIONS: After ruling out all possible causes, the diagnosis of spinal myoclonus after spinal anesthesia with bupivacaine was made by exclusion.
João Abrão; Marcelo de Paula Bianco; Waltuires Roma; José Eduardo de Souza Krippa; Jaime Eduardo Hallak
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Revista brasileira de anestesiologia     Volume:  61     ISSN:  1806-907X     ISO Abbreviation:  Rev Bras Anestesiol     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-09-16     Completed Date:  2012-01-25     Revised Date:  2014-02-05    
Medline Journal Info:
Nlm Unique ID:  0401316     Medline TA:  Rev Bras Anestesiol     Country:  Brazil    
Other Details:
Languages:  eng; por; spa     Pagination:  619-23, 339-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Editora Ltda. All rights reserved.
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MeSH Terms
Anesthesia, Spinal / adverse effects*
Anesthetics, Local / adverse effects*
Bupivacaine / adverse effects*
Middle Aged
Myoclonus / etiology*
Spinal Cord
Reg. No./Substance:
0/Anesthetics, Local; Y8335394RO/Bupivacaine

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