Anesth Pain Med.  2011 Oct;6(4):393-396.

Generalized tonic-clonic seizure following spinal anesthesia for Cesarean section with bupivacaine: A case report

• Kim HJ
• Kwon MY
• Kang HJ
• Koo MS
• Park JC
• Lee MA

Abstract

Regional anesthesia for Cesarean section is a popular anesthetic method and a subarachnoid injection of local anesthetics provides rapid onset and a reliable block. Furthermore, it maintains airway reflexes and consciousness of the parturient and is associated with less neonatal depression. Complications related with spinal anesthesia are most often postdural puncture headache, back pain, hematoma, abscess, paresthesia or motor weakness and very rarely, myoclonus. Generalized seizures as a complication following epidural anesthesia with bupivacaine has been reported, but rarely following spinal anesthesia. We present a case of a parturient who was well antenatally, but presented with generalized tonic-clonic seizures following delivery. Although the possible etiologic factors of these transient seizures after spinal anesthesia are difficult to clarify, we emphasize that careful airway monitoring after regional anesthesia is important.

Keyword

Bupivacaine; Generalized tonic-clonic seizure; Spinal anesthesia

MeSH Terms

Abscess
Anesthesia, Conduction
Anesthesia, Epidural
Anesthesia, Spinal
Anesthetics, Local
Back Pain
Bupivacaine
Cesarean Section
Consciousness
Depression
Female
Hematoma
Myoclonus
Paresthesia
Post-Dural Puncture Headache
Pregnancy
Reflex
Seizures
Anesthetics, Local
Bupivacaine