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Korean Journal of Anesthesiology 2008;54(2):201-203.
DOI: https://doi.org/10.4097/kjae.2008.54.2.201   
Myoclonus following Spinal Anesthesia with Hyperbaric Bupivacaine: A case report.
Soo Kyung Lee, Jin Woo Shin, Jong Sung Im, Young Mi Kim, Ji Hyun Park, Hyun Choi, Hyun Soo Moon
Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Anyang, Korea. agnetask@yahoo.co.kr
Abstract
Myoclonus is a rare neurologic complication of spinal anesthesia.We describe here a case of spinal segmental myoclonus that we encountered in a 45-year-old woman following spinal anesthesia. Spinal anesthesia was performed using 2.4 section sign cent of 0.5% hyperbaric bupivacaine without any complications and surgery was uneventful.However, myoclonic movements were observed in her lower extremities 2 hours after the intrathecal injection. These movements were ameliorated by intravenous injection of diazepam. The patient fully recovered without any neurologic sequelae.
Key Words: bupivacaine; myoclonus; spinal anesthesia


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