Spinal myoclonus following combined spinal and epidural anesthesia: An unusual complication
Introduction: Spinal myoclonus under regional anaesthesia necessitates awareness about its manifestation with a framework for immediate plan of action.
Case: A 52 year old male patient posted for open reduction and internal fixation with Interlocking nail for both bone leg fracture lower limbs. Combined spinal and epidural anesthesia (CSE) was administered. He developed abnormal movements in lower limb after 2hrs of subarachnoid block. These uncoordinated movements initially thought to be due to weaning of the effect of spinal anesthesia were later found to be spinal myoclonus which resolved over a period of three hours after giving GABA agonists.
Conclusion: Spinal myoclonus, a rare disorder requires high clinical suspicion of the entity for diagnosis and can be managed successfully with GABA agonist drugs.
Keywords: Combined spinal and epidural anaesthesia, Myoclonus, GABA agonist.
Case: A 52 year old male patient posted for open reduction and internal fixation with Interlocking nail for both bone leg fracture lower limbs. Combined spinal and epidural anesthesia (CSE) was administered. He developed abnormal movements in lower limb after 2hrs of subarachnoid block. These uncoordinated movements initially thought to be due to weaning of the effect of spinal anesthesia were later found to be spinal myoclonus which resolved over a period of three hours after giving GABA agonists.
Conclusion: Spinal myoclonus, a rare disorder requires high clinical suspicion of the entity for diagnosis and can be managed successfully with GABA agonist drugs.
Keywords: Combined spinal and epidural anaesthesia, Myoclonus, GABA agonist.