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Báo cáo y học: "Central neuraxial anaesthesia presenting with spinal myoclonus in the perioperative period: a case series"

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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Central neuraxial anaesthesia presenting with spinal myoclonus in the perioperative period: a case series | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Central neuraxial anaesthesia presenting with spinal myoclonus in the perioperative period a case series Olumuyiwa A Bamgbade1 John A Alfa2 Wael M Khalaf1 and Andrew P Zuokumor1 Addresses department of Anaesthesia Central Manchester University Hospital Manchester M13 9WL UK and department of Anaesthesia Lancashire Teaching Hospital Preston PR2 91 IT UK Email OAB - mubitim@yahoo.co.uk JAA - johnalfa@hotmail.com WMK - drkhalaf@hotmail.com APZ - pzuokumor@hotmail.com Corresponding author Received 13 March 2008 Accepted 22 January 2009 Published 23 June 2009 Journal ofMedical Case Reports 2009 3 7293 doi 10.4076 1752-1947-3-7293 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 7293 2009 Bamgbade et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Perioperative spinal myoclonus is extremely rare. Many anaesthetists and perioperative practitioners may not diagnose or manage this complication appropriately when it occurs. This case report of unusual acute spinal myoclonus following regional anaesthesia highlights certain aspects of this rare complication that have not previously been published. Case presentations A series of four consecutive patients who developed acute lower-limb myoclonus following spinal or epidural anaesthesia are described. The case series occurred at three different hospitals and involved four anaesthetists over a 3-year period. Two Caucasian men aged 90-years-old and 67-years-old manifested unilateral myoclonus. Two Caucasian women aged 64-years-old and 53-years-old developed bilateral myoclonus. Myoclonus was self-limiting in one patient treated with further regional anaesthesia in

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