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剖宫产术中患者蛛网膜下腔阻滞下给予咪达唑仑后类肌阵挛性不自主运动完全缓解：一例病例报告

Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report.

作者信息

Nakamoto Takahiro, Hirota Kiichi, Iwai Teppei, Shingu Koh

机构信息

Department of Anesthesiology, Kansai Medical University, Hirakata, Japan.

出版信息

Korean J Anesthesiol. 2015 Apr;68(2):193-5. doi: 10.4097/kjae.2015.68.2.193. Epub 2015 Mar 30.

DOI:10.4097/kjae.2015.68.2.193
PMID:25844141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4384410/
Abstract

Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.

摘要

在椎管内麻醉期间及之后，如脊髓麻醉和硬膜外麻醉时，很少观察到不自主运动。在本报告中，我们描述了1例在布比卡因脊髓麻醉下行计划性再次剖宫产的患者出现上肢肌阵挛样不自主运动的病例，在给予2 mg咪达唑仑后该运动完全消失。肌阵挛样运动未复发，也未引起任何明显的神经系统副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ead/4384410/9e53ad052dbc/kjae-68-193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ead/4384410/9e53ad052dbc/kjae-68-193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ead/4384410/9e53ad052dbc/kjae-68-193-g001.jpg

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本文引用的文献

1
Diagnosis of acute neurological emergencies in pregnant and post-partum women.诊断妊娠和产后妇女的急性神经系统急症。
Lancet Neurol. 2013 Feb;12(2):175-85. doi: 10.1016/S1474-4422(12)70306-X.
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Efficacy spectrum of antishivering medications: meta-analysis of randomized controlled trials.抗寒战药物的疗效谱：随机对照试验的荟萃分析。
Crit Care Med. 2012 Nov;40(11):3070-82. doi: 10.1097/CCM.0b013e31825b931e.
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Myoclonus: a pragmatic approach.肌阵挛：一种实用的方法。
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Management of pre-eclampsia: issues for anaesthetists.子痫前期的处理：麻醉医师关注的问题。
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Spinal myoclonus after subarachnoid anesthesia with bupivacaine.布比卡因蛛网膜下腔麻醉后发生脊髓肌阵挛。
Rev Bras Anestesiol. 2011 Sep-Oct;61(5):619-23, 339-40. doi: 10.1016/S0034-7094(11)70073-3.
6
Milestones in myoclonus.肌阵挛的里程碑。
Mov Disord. 2011 May;26(6):1142-8. doi: 10.1002/mds.23673.
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Recurrent spinal myoclonus after two episodes of spinal anesthesia at a 1-year interval -A case report-.1 年间 2 次椎管麻醉后出现复发性脊髓肌阵挛-病例报告-。
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S62-4. doi: 10.4097/kjae.2010.59.S.S62. Epub 2010 Dec 31.
8
Management of patients with myoclonus: available therapies and the need for an evidence-based approach.肌阵挛患者的治疗管理：现有疗法及对循证方法的需求。
Lancet Neurol. 2010 Oct;9(10):1028-36. doi: 10.1016/S1474-4422(10)70193-9.
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