Complete resolution of myoclonus-like involuntary movements under subarachnoid block after midazolam administration in a patient undergoing cesarean section: a case report

Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after 2mg midazolam administration. The myoclonus-like movement never recurred or caused any apparent neurological side effects. No abnormal sensation or spontaneous pain of the upper extremities was observed. The patient was discharged on foot on post-operative day 3.

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Myoclonus-like involuntary movements under subarachnoid block completely subsided after midazolam administration in a patient undergoing cesarean section: a case report

10.7287/peerj.preprints.101v1 ◽

2013 ◽

Author(s):

Kiichi Hirota

Keyword(s):

Case Report ◽

Side Effects ◽

Cesarean Section ◽

Spinal Anesthesia ◽

Epidural Anesthesia ◽

Involuntary Movement ◽

Upper Extremities ◽

Spontaneous Pain ◽

Subarachnoid Block ◽

Involuntary Movements

Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after 2mg midazolam administration. The myoclonus-like movement never recurred or caused any apparent neurological side effects. No abnormal sensation or spontaneous pain of the upper extremities was observed. The patient was discharged on foot on post-operative day 3.

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Self-Resolving Mobitz Type II Second-Degree Heart Block (Atypical Wenckebach Block) After Cesarean Section Under Subarachnoid Block: A Case Report

Cureus ◽

10.7759/cureus.10704 ◽

2020 ◽

Author(s):

Pratap Rudra Mahanty ◽

Abhishek Chatterjee ◽

Deb Sanjay Nag ◽

Rajiv Shukla

Keyword(s):

Case Report ◽

Cesarean Section ◽

Heart Block ◽

Type Ii ◽

Subarachnoid Block ◽

Degree Heart Block ◽

Mobitz Type ◽

Wenckebach Block ◽

Second Degree

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Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

Journal of Case Reports in Medicine ◽

10.25149/jcrm.v8i1.173 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Danielle Levin

Keyword(s):

Single Dose ◽

Case Report ◽

Cesarean Section ◽

Epidural Anesthesia ◽

Elective Cesarean Section ◽

Single Administration ◽

Dystonic Reaction ◽

Elective Cesarean ◽

Combined Spinal Epidural Anesthesia ◽

Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia. During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron. Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive. Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds. Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission.

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Subarachnoid Block With Ultrasound-Guided Transversalis Fascia Plane Block for Cesarean Section

Case Medical Research ◽

10.31525/ct1-nct04172727 ◽

2019 ◽

Author(s):

Keyword(s):

Cesarean Section ◽

Transversalis Fascia ◽

Ultrasound Guided ◽

Subarachnoid Block

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Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

JA Clinical Reports ◽

10.1186/s40981-021-00430-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Junnosuke Kimura ◽

Kento Kawamura ◽

Manami Minoura ◽

Ayako Hiramoto ◽

Yoshifumi Suga ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Cesarean Section ◽

General Anesthesia ◽

Pregnant Women ◽

Cesarean Delivery ◽

Business Communication ◽

Communication Tools ◽

Case Presentation ◽

Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

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Rapid growth of myxoid leiomyosarcoma of the vulva during pregnancy: a case report

International Journal of Gynecological Cancer ◽

10.1136/ijgc-00009577-200401000-00026 ◽

2004 ◽

Vol 14 (1) ◽

pp. 172-175 ◽

Cited By ~ 1

Author(s):

A. R. Di Gilio ◽

G. Cormio ◽

L. Resta ◽

C. Carriero ◽

V. Loizzi ◽

...

Keyword(s):

Differential Diagnosis ◽

Smooth Muscle ◽

Case Report ◽

Lymph Node ◽

Cesarean Section ◽

Recurrent Disease ◽

Node Dissection ◽

Smooth Muscle Tumors ◽

Vulvar Mass

Smooth muscle tumors arising in the vulva are rare. Leiomyosarcoma is the most common variant of vulvar sarcoma, and very few cases have been reported during pregnancy. A 36-year-old woman presented with a progressively enlarging vulvar mass during pregnancy, diagnosed as a Bartholin's gland cyst. The lesion was resected at 38 weeks of gestation during cesarean section and diagnosis of myxoid leiomyosarcoma of the vulva was made. Six weeks later the patients were referred to our center and submitted to wide vulvar excision with groin lymph node dissection that revealed the presence of a small residual focus of leiomyosarcoma. At 30 months of follow-up the patient was well without any sign of recurrent disease. Leiomyosarcoma should be included in the differential diagnosis of vulvar masses; progressively enlarging vulvar lesion should be biopsied even during pregnancy. Leiomyosarcoma should be considered in the differential diagnosis of vulvar mass.

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Scrotal hematoma as a sign of adrenal hemorrhage in newborns

Sao Paulo Medical Journal ◽

10.1590/s1516-31802011000200011 ◽

2011 ◽

Vol 129 (2) ◽

pp. 113-115 ◽

Cited By ~ 7

Author(s):

Renata Gonçalves ◽

Allan Abuabara ◽

Rubia Fatima Fuzza Abuabara ◽

Claudia Aparecida Feron

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Conservative Treatment ◽

Complete Resolution ◽

Testicular Tumor ◽

Adrenal Hemorrhage ◽

Meconium Peritonitis ◽

Scrotal Hematoma ◽

Bluish Discoloration

CONTEXT: Bluish discoloration and swelling of the scrotum in newborns can arise from a number of diseases, including torsion of the testes, orchitis, scrotal or testicular edema, hydrocele, inguinal hernia, meconium peritonitis, hematocele, testicular tumor and traumatic hematoma. Forty-two cases of scrotal abnormalities as signs of neonatal adrenal hemorrhage were found in the literature. CASE REPORT: We present a case of scrotal hematoma due to adrenal hemorrhage in a newborn. Conservative treatment with clinical follow-up was adopted, with complete resolution within 10 days. The possible differential diagnoses are reviewed and discussed.

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