title: [Vertigo and vertical nystagmus associated with intrathecal morphine administration and resolution by naloxone].
abstract: Combined regional anesthesia is frequently used as a tool for management of postoperative pain. The profile of side effects of the opioids used via this route is similar to those occurring after systemic administration. The onset of vertigo with vertical nystagmus is an adverse effect rarely described after the use of intrathecal, epidural or intravenous morphine. We report the case of a patient who presented this complication in the postoperative period of a partial nephrectomy, after the administration of intrathecal morphine, with complete resolution by intravenous naloxone.
authors: Servicio de Clínica Médica, Sanatorio Otamendi y Miroli, Buenos Aires. jorgedeall@yahoo.com.ar
authors: Jorge
authors: J
authors: De All
authors: María Fernanda
authors: MF
authors: Repetto
authors: Valeria
authors: V
authors: Tagliapietra
authors: Jorge
authors: J
authors: Risso
authors: Fernando
authors: F
authors: Chirio
authors: César
authors: C
authors: Gnocchi
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D009020:Morphine / Q000008:administration & dosage / Q000009:adverse effects*; D009270:Naloxone / Q000627:therapeutic use*; D009292:Narcotic Antagonists / Q000627:therapeutic use*; D009759:Nystagmus, Pathologic / Q000139:chemically induced* / Q000188:drug therapy; D010149:Postoperative Pain / Q000188:drug therapy; D014717:Vertigo / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D000701:Analgesics, Opioid; D009292:Narcotic Antagonists; D009270:Naloxone; D009020:Morphine