J Korean Pain Soc.  2002 Dec;15(2):159-162.

Neuroexcitatory Effect after Administration of Usual Dose of Epidural Morphine: A case report

Affiliations
  • 1Department of Anesthesiology, Catholic University of Medicine, Seoul, Korea. demoon@catholic.ac.kr

Abstract

The epidural administration of opioid has been identified as a method for postoperative analgesia. However, complications such as nausea, vomiting, and respiratory depression remain major problems of an epidural administration of morphine. We experienced one case of neuroexcitation with an epidural administration of 1 mg of morphine following a total hysterectomy. The patient exhibited neuroexcitatory symptoms like myoclonus, spasm, and tingling sensations 3 hours after receiving 1 mg morphine epidurally. The symptoms resolved after stopping the morphine infusion.

Keyword

Epidural morphine; Neuroexcitation

MeSH Terms

Analgesia
Humans
Hysterectomy
Morphine*
Myoclonus
Nausea
Respiratory Insufficiency
Sensation
Spasm
Vomiting
Morphine
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