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- Title
A case of spinal myoclonus in a patient with elective cesarean section.
- Authors
Shiratori, Tohru; Hotta, Kunihisa; Satoh, Masaaki; Kondo, Naoko; Ikeda, Junji; Sasao, Shinji
- Abstract
Background: Transient myoclonic involuntary movements, typically referred to as spinal myoclonus (SM), rarely develop in the extremities following neuraxial anesthesia (NA). NA indications in patients with history of SM following NA (SM-NA) are unknown.Case presentation: A 33-year-old woman developed SM-NA after elective cesarean section (CS). Approximately 130 min after spinal anesthesia induction, she began exhibiting involuntary movements, which became most severe after approximately 3 h. The involuntary movements gradually decreased without treatments and disappeared after approximately 5 h. The patient underwent CS on three occasions. The first CS (age, 29 years) was under a combination of spinal and epidural anesthesia. The third CS (age, 35 years) was completed using only spinal anesthesia. There were no neurological events during the postoperative courses for the first and third CS.Conclusions: SM-NA can unexpectedly occur, and history of SM-NA may not be contraindicative for repeated NA.
- Subjects
SPINE diseases; ELECTIVE surgery; CESAREAN section; DISEASES in women
- Publication
JA Clinical Reports, 2018, Vol 4, Issue 1, p1
- ISSN
2363-9024
- Publication type
Case Study
- DOI
10.1186/s40981-018-0182-1