Korean J Anesthesiol.  1994 May;27(5):513-517. 10.4097/kjae.1994.27.5.513.

A Case Report of Status Myoclonic Seizure after Spinal Anesthesia with Tetracaine

• Song KS
• Lee KW
• Park MK
• Park KH
• Kim KS

• KMID: 1752563
• DOI: http://doi.org/10.4097/kjae.1994.27.5.513

Abstract

The subarachnoid injection of local anesthetics to obtain lower limbs anesthesia has been used since 1899 by first August Bier. Transient neurologic complications during and immediately after spinal anesthesia are rare ; however we recently encountered a case of CNS toxicity that was nonspecific and severe in a 30 year old man who had a hemiorrhaphy under spinal anesthesia using tetracaine with epinephrine. The exact cause of seizure attack was unknown, but we suspected it tetracaine induced CNS toxicity due to vascular absorption or cephalard movement in CSF.

Keyword

CNS toxicity; Tetracaine; Spinal Anesthesia

MeSH Terms

Absorption
Adult
Anesthesia
Anesthesia, Spinal*
Anesthetics, Local
Epinephrine
Humans
Lower Extremity
Seizures*
Tetracaine*
Anesthetics, Local
Epinephrine
Tetracaine