Tuba Kuvvet YOLDAŞ, Mehmet YOLDAŞ, Dilber İŞLER

Spinal myoclonus following spinal anesthesia in a cystoscopy case

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

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.

PDF

___

1. Lee JJ, Hwang SM, Lee JS. Recurrent spinal myoclonus after two episodes of spinal anesthesia at a 1 year interval. Korean J Anesthesiol 2010;59(Suppl)S62-4.

2. Khandelwal A, Pathak DG, Nath R. Spinal myoclonus following intrathecal anesthesia with bupivacaine for elective appendicectomy. Int J Sci Study 2014;2(9):112-4.

3. Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol 2004;3(10):598-607.

4. Hoehn MM, Cherington M. Spinal myoclonus. Neurology 1977;27(10):942-6.

5. Jiménez-Jiménez FJ, Puertas I, de Toledo-Heras M. Drug induced myoclonus: Frequency, mechanisms and management. CNS Drugs 2004;18(2):93-104.

6. Menezes FV, Venkat N. Spinal myoclonus following combined spinal-epidural anaesthesia for Caesarean section. Anaesthesia 2006;61(6):597-600.

7. Ford B, Pullman SL, Khandji A, Goodman R. Spinal myoclonus induced by an intrathecal catheter. Mov Disord 1997;12(6):1042-5.

8. Strichartz GR, Berde CB. Local anaesthetics. In: Miller RD (ed). Miller’s Anaesthesia, 6th edition. Philadelphia: Elsevier Churchill Livingstone; 2005:573-603.

9. Panigrahi B, Samaddar DP, Mahapatra BC. Spinal myoclonus following bupivacaine spinal anaesthesia for varicose vein stripping. Ind J Anaesth 2008;52(3):331-3.