| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
脊髄幹麻酔に起因する脊髄髄節性ミオクローヌスが疑われた2症例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Transient Spinal Segmental Myoclonus during Neuraxial Anesthesia: A Report of Two Cases |
|
言語 |
en |
| 作成者 |
田嶋, 実
森脇, 克行
橋本, 賢
藤井, 聖士
城山, 和久
讃岐, 美佳子
栗田, 茂顕
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
脊髄髄節性ミオクローヌス |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
脊髄幹麻酔 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
spinal segmental myoclonus |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
neuraxial analgesia |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
We report here two cases of transient spinal segmental myoclonus occurred during neuraxial anesthesia. One case was an 82-year-old woman, who was scheduled to undergo surgery for abdominal aortic aneurism, was indwelled epidural catheter the day before surgery. A quick, involuntary muscle jerk of the lower limbs began 30 minutes after giving a test dose bolus injection of mepivacaine via the epidural catheter. Despite removal of the epidural catheter, the involuntary muscle jerk persisted and ceased spontaneously five hours after injection of mepivacaine. The other case was a 33-year-old woman who underwent an emergency Caesarean section under a combined spinalepidural anesthesia. Involuntary muscle jerk of the upper limbs began 76 minutes after the intrathecal administration of hyperbaric bupivacaine during immediate post-operative period. The involuntary muscle contraction ceased four hours after injection of bupivacaine without any treatment. In both cases, no abnormal findings were detected in the spinal cord in MRI and/or CT. The involuntary muscle jerk observed in those two patients was diagnosed spinal segmental myoclonus by neurologists. The unusual effect of local anesthetics to the spinal cord neurons during neuraxial anesthesia was suspected as the cause of myoclonus. Although the spinal myoclonus caused by neuraxial anesthesia is quite rare and its etiology is unclear, anesthesiologists should be aware of this bizarre and stressful complication. |
|
言語 |
en |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
本稿の要旨は日本麻酔科学会 中国・四国支部第50回学術集会（高松市，2013年）で発表した。 |
| 出版者 |
|
|
出版者 |
広島麻酔医学会 |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0385-1664 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00232251 |
| 開始ページ |
|
|
開始ページ |
35 |
| 書誌情報 |
麻酔と蘇生
Ansesthesia and Resuscitation
巻 55,
号 1,
p. 35-38,
発行日 2019-03-01
|
| 見出し |
|
|
大見出し |
臨床研究 |
|
言語 |
ja |
| 見出し |
|
|
大見出し |
臨床研究 |
|
言語 |
en |
| 旧ID |
47562 |
AnesthResus_55-1_35.pdf (1.7 MB)
