title: [Involuntary Movement of Bilateral Lower Limbs Caused by Epidural Anesthesia: A Case Report].
abstract: Regional anesthesia, especially epidural anesthesia, rarely causes involuntary movement Here we present a case of a patient who demonstrated myoclonus-like involuntary movement of the lower limbs during continuous infusion of ropivacaine, fentanyl, and droperidol through the thoracic epidural catheter. This movement disappeared when the epidural infusion was stopped, but reappeared when the epidural infusion was restarted. Naloxone did not eliminate the movement The patient was thereafter discharged uneventfully. This case and other reports in the literature suggest that involuntary movement associated with regional anesthesia is rare and self-limiting. However, careful consideration should be given to exclude other, potentially dangerous complications.
authors.forename: Keiko
authors.initials: K
authors.lastname: Toki
authors.forename: Masashi
authors.initials: M
authors.lastname: Yokose
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Miyashita
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Sato
authors.forename: Hiroko
authors.initials: H
authors.lastname: Fujimoto
authors.forename: Sayoko
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Takahisa
authors.initials: T
authors.lastname: Goto
mesh_terms: D000577:Amides / Q000009:adverse effects*; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D004329:Droperidol / Q000009:adverse effects*; D004338:Drug Combinations; D004409:Dyskinesia, Drug-Induced / Q000503:physiopathology*; D020820:Dyskinesias / Q000503:physiopathology*; D005260:Female; D005283:Fentanyl / Q000009:adverse effects*; D006801:Humans; D035002:Lower Extremity / Q000503:physiopathology*; D008175:Lung Neoplasms / Q000601:surgery; D008875:Middle Aged; D000077212:Ropivacaine
chemical_list: D000577:Amides; D004338:Drug Combinations; D000077212:Ropivacaine; D004329:Droperidol; D005283:Fentanyl