Menezes F V, Venkat N
Department of Anaesthesia, Lister Hospital, Stevenage, UK.
Anaesthesia. 2006 Jun;61(6):597-600. doi: 10.1111/j.1365-2044.2006.04655.x.
A nulliparous woman presented with pre-eclampsia at 39 weeks' gestation. A combined spinal-epidural anaesthesia was employed for Caesarean section but the spinal component produced no discernible block, so the epidural was topped up with 20 ml ropivacaine 0.75% without problem and surgery was uneventful. A week after delivery she developed twitching of her legs and opisthotonus, that was initially thought to be eclampsia but was subsequently diagnosed as spinal myoclonus. She was treated with oral carbamazepine and diazepam, with improvement over the next 4 days, and discharged home a week later taking oral carbidopa and levodopa. Her symptoms resolved completely 6 months after the initial event.
一名未生育的女性在妊娠39周时出现子痫前期。剖宫产采用腰麻-硬膜外联合麻醉，但腰麻部分未产生明显阻滞，因此顺利向硬膜外追加了20毫升0.75%的罗哌卡因，手术过程顺利。产后一周，她出现腿部抽搐和角弓反张，最初被认为是子痫，但随后被诊断为脊髓性肌阵挛。她接受了口服卡马西平和地西泮治疗，在接下来的4天里有所改善，一周后出院，服用口服卡比多巴和左旋多巴。初始事件6个月后，她的症状完全消失。
