Myoclonus-like involuntary movements following cesarean delivery epidural anesthesia.
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.
Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee University.
Hee Yong
HY
Kang
Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee University.
Sang Wook
SW
Lee
Department of Anesthesia and Pain Medicine, Kyung Hee University Hospital.
Eun Pyo
EP
Hong
Department of Anesthesia and Pain Medicine, Kyung Hee University Hospital.
Yeo Hae
YH
Sim
Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong.
Su-Mi
SM
Lee
Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee University; Department of Anesthesia and Pain Medicine, Kyung Hee University Hospital.
Sung Wook
SW
Park
Department of Anesthesiology and Pain Medicine, Graduate School, Kyung Hee University; Department of Anesthesiology and Pain Medicine, Kyung Hee University Hospital at Gangdong. Electronic address: kjm@khnmc.or.kr.
Jong-Man
JM
Kang
D061605:Administration, Intravenous; D000328:Adult; D000762:Anesthesia Recovery Period; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage; D000927:Anticonvulsants / Q000008:administration & dosage / Q000627:therapeutic use*; D002045:Bupivacaine / Q000008:administration & dosage / Q000031:analogs & derivatives; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007268:Injections, Epidural; D000077554:Levobupivacaine; D008012:Lidocaine / Q000008:administration & dosage; D008874:Midazolam / Q000008:administration & dosage / Q000627:therapeutic use*; D009207:Myoclonus / Q000188:drug therapy* / Q000209:etiology*; D011247:Pregnancy
D000779:Anesthetics, Local; D000927:Anticonvulsants; D008012:Lidocaine; D000077554:Levobupivacaine; D008874:Midazolam; D002045:Bupivacaine
Cesarean delivery; Epidural anesthesia; Involuntary movement; Spinal myoclonus