Korean J Anesthesiol.  2015 Apr;68(2):193-195. 10.4097/kjae.2015.68.2.193.

Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report

• Nakamoto T
• Hirota K
• Iwai T
• Shingu K

• KMID: 2236162
• DOI: http://doi.org/10.4097/kjae.2015.68.2.193

Abstract

Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.

Keyword

Cesarean section; Involuntary movement; Myoclonus; Spinal anesthesia

MeSH Terms

Anesthesia
Anesthesia, Epidural
Anesthesia, Spinal
Bupivacaine
Cesarean Section*
Cesarean Section, Repeat
Dyskinesias*
Female
Humans
Midazolam*
Myoclonus
Pregnancy
Upper Extremity
Bupivacaine
Midazolam