Spinal Myoclonus Following Neuraxial Anesthesia: an Extremely Rare Complication

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Setthaporn Junhavitthaya

Abstract

Spinal anesthesia is a widely employed technique for various surgical procedures. Neuraxial anesthesia is generally safe. However, it might be associated with several neurological complications, of which spinal myoclonus is an extremely rare but an important consideration.

Article Details

Section
Case reports

References

Brull R, Macfarlan AJR, Chan VWS. Spinal, epidural, and caudal anesthesia. In: Miller RD, Eriksson LI, Cohen NH, Young WL, eds. Miller’s anesthesia, 2-volume set. 8th ed. Philadelphia: Elsevier. 2014;p1684-720.

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

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.

Fox EJ, Villanueva R, Schutta HS. Myoclonus following spinal anesthesia. Neurology. 1979;29:379-80.

Fores Novales B, Aguilera Celorrio L. Spinal myoclonus following intrathecal anaesthesia with prilocaine. Anaesth Intensive Care. 2009;37:498-9.

Alfa JA, Bamgdade OA. Acute myoclonus following spinal anaesthesia. Eur J Anaesthesiol. 2008;25:256-7.

Lee JJ, Hwang SM, Lee JS, Jang JS, Lim S-Y, 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.

Cohen EN. Distribution of local anesthetic agents in the neuraxis of the dog. Anesthesiology. 1968;29:1002-5.

Shibasaki H, Hallett M. Electrophysiology studies of myoclonus. Muscle Nerve. 2005;31:157-74.

Kang HY, Lee SW, Hong EP, et al. Myoclonus like involuntary movements following cesarean delivery epidural anesthesia. J Clin Anesth. 2016;34:392-4.

Lev A, Korn-Lubezki I, Steiner-Birmanns B, Samueloff A, Gozal Y, Ioscovich A. Prolonged propiospinal myoclonus following spinal anesthesia for cesarean section: case report and literature review. Arch Gynecol Obstet. 2012;286:271-2.