Mehmet Yoldaş, Dilber İşler, Tuba Kuvvet Yoldaş

Sistoskopi olgusunda uygulanan spinal anestezi sonrası gelişen spinal miyoklonus

Rejiyonal anestezi sonrası gelişen spinal myoklonus oldukça nadir görülmektedir. Tek bir kas veya kas gruplarında ani, istemsiz, kısa süreli fokal veya segmental görülen kasılmalardır. Spinal kord patolojileri (tümör, enfeksiyon, vb.) sonucu gelişen nöromuskuler disfonksiyondur. Ayrıca intratekal bupivakain veya epidural kateter uygulama sonrası benzer olgular bildirilmiştir. Spinal anestezide uyguladığımız bupivakaine bağlı gelişen spinal myoklonus gözlediğimiz olgumuzu sunmayı amaçladık.

Spinal myoclonus following spinal anesthesia in a cystoscopy case

Spinal myoclonus developed after regional anesthesia is quite rare. They are sudden onset, involuntary, short focalor segmental contractions in a single muscle or a muscle group. Spinal myoclonus is a neuromuscular dysfunctiondeveloped after spinal cord pathologies (tumor, infection,etc.) Almost all reported cases were related to intrathecalbupivacaine or an epidural catheter. We aimed to present the spinal myoclonus we observed in our case caused bythe administration of bupivacaine for spinal anesthesia.

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