Myoclonus-like involuntary movements under subarachnoid block completely subsided after midazolam administration in a patient undergoing cesarean section: a case report
Department of Anesthesiology, Kansai Medical University, Hirakata, Japan
- Published
- Accepted
- Subject Areas
- Anesthesiology and Pain Management, Gynecology and Obstetrics, Neurology
- Keywords
- spinal anesthesia, cesarean section, involuntary movement, spinal myoclonus
- Copyright
- © 2013 Hirota
- Licence
- This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- Cite this article
- 2013. Myoclonus-like involuntary movements under subarachnoid block completely subsided after midazolam administration in a patient undergoing cesarean section: a case report. PeerJ PrePrints 1:e101v1 https://doi.org/10.7287/peerj.preprints.101v1
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 2mg midazolam administration. The myoclonus-like movement never recurred or caused any apparent neurological side effects. No abnormal sensation or spontaneous pain of the upper extremities was observed. The patient was discharged on foot on post-operative day 3.
Supplemental Information
The movie of the involuntary movement is demonstrated.
The involuntary movement was observed on the both arms. The movement quitted immediate after administration of 2mg midazolam.