Er Gunay, Akan Onur, Koman Fatmanur, Demirhan Esma, Kuru Ömer
Department of Algology, Seyrantepe Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye.
Department of Neurology, Prof. Dr. Cemil Taşçıoğlu State Hospital, İstanbul, Türkiye.
Turk J Phys Med Rehabil. 2025 Feb 24;71(1):122-126. doi: 10.5606/tftrd.2024.14629. eCollection 2025 Mar.
Herein, we reported a case of spinal myoclonus following an ultrasound-guided suprascapular nerve block. A 58-year-old male patient who had a diagnosis of calcific tendinitis inside the right supraspinatus tendon received a right suprascapular nerve block (3 mL of 2% prilocaine mixed with 2 mL of 1% lidocaine) under the guidance of ultrasound. Sudden, painless, and involuntary movements began in the upper extremity 10 min after the intervention. Three months after the injection, the involuntary movements were entirely stopped. Involuntary, painless, and brief muscle jerks may be suggestive of myoclonus after interventions with local anesthetics.
在此,我们报告了一例超声引导下肩胛上神经阻滞后发生脊髓性肌阵挛的病例。一名58岁男性患者,诊断为右冈上肌腱钙化性肌腱炎,在超声引导下接受了右肩胛上神经阻滞(3毫升2%丙胺卡因与2毫升1%利多卡因混合)。干预后10分钟,上肢突然出现无痛性不自主运动。注射后三个月,不自主运动完全停止。局部麻醉剂干预后出现的不自主、无痛且短暂的肌肉抽搐可能提示肌阵挛。