Department of Anesthesiology and Pain Medicine, School of Medicine, Hallym University, Chuncheon, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S62-4. doi: 10.4097/kjae.2010.59.S.S62. Epub 2010 Dec 31.
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.
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。
