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    KCI등재 SCOPUS SCIE

    척추마취 후 상지에 발생한 척수 간대성 근경련 —증례보고— = Spinal myoclonus on upper extremities following spinal anesthesia −A case report−

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    https://www.riss.kr/link?id=A104327876

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Clonic movement is a rare complication that occurs after neuraxial blockade. We report our experience with an 18-year-old man developing myoclonic movement on his both upper extremities following intrathecal injection of 0.5% hyperbaric bupivacaine for varicocelectomy. One and half hour after spinal anesthesia, he developed bilateral, rhythmic myoclonic movements on upper extremities. Two days after surgery, neck flexion was observed. Symptoms sustained for about one month but frequency and severity of clonic movement had been reduced by anticonvulsants and muscle relaxant therapy. Four weeks later, he recovered without any complication.
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    Clonic movement is a rare complication that occurs after neuraxial blockade. We report our experience with an 18-year-old man developing myoclonic movement on his both upper extremities following intrathecal injection of 0.5% hyperbaric bupivacaine f...

    Clonic movement is a rare complication that occurs after neuraxial blockade. We report our experience with an 18-year-old man developing myoclonic movement on his both upper extremities following intrathecal injection of 0.5% hyperbaric bupivacaine for varicocelectomy. One and half hour after spinal anesthesia, he developed bilateral, rhythmic myoclonic movements on upper extremities. Two days after surgery, neck flexion was observed. Symptoms sustained for about one month but frequency and severity of clonic movement had been reduced by anticonvulsants and muscle relaxant therapy. Four weeks later, he recovered without any complication.

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    참고문헌 (Reference)

    1 신병수, "척추마취 후 발생한 척수고유 간대성 근경련 : 2예" 대한신경과학회 20 (20): 208-210, 2002

    2 Nakatani K, "Spinal myoclonus possibly caused by epidural anesthesia" 48 : 1248-1249, 1999

    3 Song SO, "Spinal myoclonus on lower extremities following spinal anesthesia or subdural administration of intended epidural steroid injection" 36 : 1081-1086, 1999

    4 Menezes FV, "Spinal myoclonus following combined spinal-epidural anaesthesia for Caesarean section" 61 : 597-600, 2006

    5 Kozody R, "Spinal cord blood flow following sub-arachnoid lidocaine" 32 : 472-478, 1985

    6 Cho EC, "Severe clonic movement of extremities suspected as conversion reaction after continuous epidural and general anesthesia" 26 : 165-168, 1993

    7 Moorthy SS, "Restless legs during recovery from spinal anesthesia" 70 : 337-, 1990

    8 Bagnato S, "Quartarone A, Majorana G, Vita G, Girlanda P: Segmental myoclonus in a patient affected by syringomyelia" 22 : 27-29, 2001

    9 Hachisuka K, "Post-operative paraplegia with spinal myoclonus possibly caused by epidural anaesthesia: case report" 29 : 131-136, 1991

    10 Cassim F, "Neurophysiology of myoclonus" 36 : 281-291, 2006

    1 신병수, "척추마취 후 발생한 척수고유 간대성 근경련 : 2예" 대한신경과학회 20 (20): 208-210, 2002

    2 Nakatani K, "Spinal myoclonus possibly caused by epidural anesthesia" 48 : 1248-1249, 1999

    3 Song SO, "Spinal myoclonus on lower extremities following spinal anesthesia or subdural administration of intended epidural steroid injection" 36 : 1081-1086, 1999

    4 Menezes FV, "Spinal myoclonus following combined spinal-epidural anaesthesia for Caesarean section" 61 : 597-600, 2006

    5 Kozody R, "Spinal cord blood flow following sub-arachnoid lidocaine" 32 : 472-478, 1985

    6 Cho EC, "Severe clonic movement of extremities suspected as conversion reaction after continuous epidural and general anesthesia" 26 : 165-168, 1993

    7 Moorthy SS, "Restless legs during recovery from spinal anesthesia" 70 : 337-, 1990

    8 Bagnato S, "Quartarone A, Majorana G, Vita G, Girlanda P: Segmental myoclonus in a patient affected by syringomyelia" 22 : 27-29, 2001

    9 Hachisuka K, "Post-operative paraplegia with spinal myoclonus possibly caused by epidural anaesthesia: case report" 29 : 131-136, 1991

    10 Cassim F, "Neurophysiology of myoclonus" 36 : 281-291, 2006

    11 Caviness JN, "Myoclonus: current concepts and recent advances" 3 : 598-607, 2004

    12 Swanson PD, "Myoclonus--a report of 67 cases and review of the literature" 41 : 339-356, 1962

    13 Fox EJ, "Myoclonus following spinal anesthesia" 29 : 379-380, 1979

    14 Hougaard S, "Myoclonus following combined spinal-epidural anesthesia" 167 : 2295-, 2005

    15 Vorsanger GJ, "Midazolam-induced athetoid movements of the lower extremities during epidural anesthesia reversed by physostigmine" 5 : 494-496, 1993

    16 Nadkarni AV, "Localized clonic convulsions after spinal anesthesia with lidocaine and epinephrine" 61 : 945-947, 1982

    17 Malinovsky JM, "Intrathecal ropivacaine in rabbits: pharmacodynamic and neurotoxicologic study" 97 : 429-435, 2002

    18 Alfa JA, "Acute myoclonus following spinal anaesthesia" 25 : 256-257, 2008

    19 Yamashita A, "A comparison of the neurotoxic effects on the spinal cord of tetracaine, lidocaine, bupivacaine, and ropivacaine administered intrathecally in rabbits" 97 : 512-519, 2003

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