Spontaneous Termination of Spinal Myoclonus after Spinal Anesthesia: A Case Report

Authors

  • Asamaporn Puetpaiboon Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Thanyalak Amornpojnimman Unit of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.2021852

Keywords:

spinal anesthesia, spinal myoclonus, spinal segmental myoclonus

Abstract

Spinal myoclonus following neuraxial anesthesia isextremely rare. Herein, wereport onacase of spinal myoclonus after spinal anesthesia for elective colpocleisis with perineorrhaphy, in a 71-year-old woman. Sudden, brief, repetitive, and rhythmic hyperkinetic movement in both legs developed two hours after spinal injection with hyperbaric bupivacaine; which then spontaneously resolved after 45 minutes without leaving any neurologic deficit.

References

Levy A, Chen R. Myoclonus: pathophysiology and treatment options. Curr Treat Options Neurol 2016;18:21.

Termsarasab P, Thammongkolchai T, Frucht SJ. Spinal generated movement disorders: a clinical review. J Clin Mov Disord 2015;2:18.

Shiratori T, Hotta K, Satoh M. Spinal myoclonus following neuraxial anesthesia: a literature review. J Anesth 2019;33: 140-7.

Brull R, Macfarlane AJ, Chan VW. Spinal, epidural, and caudal anesthesia. In: Gropper MA, Cohen NH, Eriksson LI, Fleisher LA, Leslie K, Wiener-Kronish JP, editors. Miller's anesthesia. 9th ed. Philadelphia: Elsevier; 2020;p.1440-2.

AbrãoJ, Bianco MdP, Roma W, KrippaJEdS, Hallak JE. Spinal myoclonus after subarachnoid anesthesia with bupivacaine. Rev Bras Anestesiol 2011;61:619-23.

LeeJJ, Hwang SM,LeeJS,JangJS,Lim SY, Hong SJ. Recurrent spinal myoclonus after two episodes of spinal anesthesia at a 1-year interval -a case report. Korean J Anesthesiol 2010; 59(Suppl):S62-4.

Sanjoaquín M, Martínez-Quiñones J, Teixeira C, Lalanza P, Issa R. Spinal myoclonus following spinal anesthesia. Internet J Anesth 2008;19.

Shiratori T, Hotta K, Satoh M, Kondo N, Ikeda J, Sasao S. A case of spinal myoclonus in a patient with elective cesarean section. JA Clin Rep 2018;4:47.

Cassim F, Houdayer E. Neurophysiology of myoclonus. Neurophysiol Clin 2006;36:281-91.

Gurajala I, Iyengar R, Durga P, Gopinath R. Spinal and epidural anesthesia in patients with recent stable fractures of vertebral column. J Neurosurg Anesthesiol 2016;28.

NakamotoT, Hirota K, IwaiT, Shingu K. Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: acasereport. Korean J Anesthesiol 2015;68: 193-5.

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Published

2023-04-08

How to Cite

1.
Puetpaiboon A, Amornpojnimman T. Spontaneous Termination of Spinal Myoclonus after Spinal Anesthesia: A Case Report. J Health Sci Med Res [Internet]. 2023 Apr. 8 [cited 2024 Dec. 23];40(5):585-8. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/262869

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Section

Case Report