title: Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report.
abstract: Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.
authors.affiliation: Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakamoto
authors.affiliation: Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.
authors.forename: Kiichi
authors.initials: K
authors.lastname: Hirota
authors.affiliation: Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.
authors.forename: Teppei
authors.initials: T
authors.lastname: Iwai
authors.affiliation: Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.
authors.forename: Koh
authors.initials: K
authors.lastname: Shingu
keywords: Cesarean section; Involuntary movement; Myoclonus; Spinal anesthesia
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