Status Epilepticus Following Intrathecal Administration of Bupivacaine: A Case Report.
J Investig Med High Impact Case Rep
; 10: 23247096221090841, 2022.
Article
em En
| MEDLINE
| ID: mdl-35440218
ABSTRACT
Spinal anesthesia is common practice and rarely causes complications. Although extended experience is present, seldom side effects of this technique and the administration of intrathecal local anesthetics and/or opioids can occur. We present a case in which a 76-year old woman undergoing total hip arthroplasty received a low dose of intrathecal bupivacaine and sufentanil. One hour after administration, she developed myoclonic seizures of the lower extremities followed by generalized tonic-clonic seizures and status epilepticus. We conclude that status epilepticus is a rare and possible lethal side effect of intrathecal bupivacaine. Symptoms may be misleading, highlighting the importance of early recognition and adequate management.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estado Epiléptico
/
Raquianestesia
Tipo de estudo:
Clinical_trials
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article