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超声引导下肩胛上神经阻滞术后发生脊髓节段性肌阵挛:一例报告。

Spinal segmental myoclonus following ultrasound-guided suprascapular nerve block: A case report.

作者信息

Er Gunay, Akan Onur, Koman Fatmanur, Demirhan Esma, Kuru Ömer

机构信息

Department of Algology, Seyrantepe Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye.

Department of Neurology, Prof. Dr. Cemil Taşçıoğlu State Hospital, İstanbul, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2025 Feb 24;71(1):122-126. doi: 10.5606/tftrd.2024.14629. eCollection 2025 Mar.

Abstract

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.

摘要

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。

相似文献

本文引用的文献

1
Myoclonus and other jerky movement disorders.肌阵挛及其他抽搐性运动障碍。
Clin Neurophysiol Pract. 2022 Oct 6;7:285-316. doi: 10.1016/j.cnp.2022.09.003. eCollection 2022.
3
Myoclonus.肌阵挛
Continuum (Minneap Minn). 2019 Aug;25(4):1055-1080. doi: 10.1212/CON.0000000000000750.
7
Myoclonus following a Peripheral Nerve Block.周围神经阻滞后的肌阵挛
Case Rep Anesthesiol. 2013;2013:213472. doi: 10.1155/2013/213472. Epub 2013 Jul 11.
10
Spinal myoclonus following a peripheral nerve injury: a case report.
J Brachial Plex Peripher Nerve Inj. 2008 Aug 6;3:18. doi: 10.1186/1749-7221-3-18.

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