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1 年间 2 次椎管麻醉后出现复发性脊髓肌阵挛-病例报告-。

Recurrent spinal myoclonus after two episodes of spinal anesthesia at a 1-year interval -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S62-4. doi: 10.4097/kjae.2010.59.S.S62. Epub 2010 Dec 31.

Abstract

Spinal myoclonus is an unusual, self-limiting, adverse event that may occur during spinal anesthesia. The exact cause and underlying biochemical mechanism of spinal myoclonus remain unclear. A few cases of spinal myoclonus have been reported after administration of intrathecal bupivacaine. We report a case in which spinal myoclonus recurred after two episodes of spinal anesthesia with bupivacaine at a 1-year interval in a 35-year-old woman. The myoclonus was acute and transient. The patient recovered completely, with no neurologic sequelae.

摘要

脊髓肌阵挛是一种不常见的、自限性的不良事件,可能发生在脊髓麻醉期间。脊髓肌阵挛的确切原因和潜在的生化机制尚不清楚。在鞘内注射布比卡因后,有少数几例脊髓肌阵挛的报道。我们报告了一例 35 岁女性,在 1 年内两次间隔使用布比卡因行脊髓麻醉后出现脊髓肌阵挛,且两次均复发。肌阵挛是急性和短暂的。患者完全恢复,无神经后遗症。

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