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Reversible cerebral vasoconstriction syndrome with limb myoclonus following intravenous administration of methylergometrine
- Source :
- Journal of Anesthesia. 25:405-408
- Publication Year :
- 2011
- Publisher :
- Springer Science and Business Media LLC, 2011.
-
Abstract
- Neurological deficits associated with methylergometrine have been reported primarily as a result of reversible cerebral vasoconstriction syndromes (RCVS). RCVS are characterized by reversible multifocal vasoconstrictions of the cerebral arteries heralded by acute severe headache with or without neurological deficits. Here, we present the first case of suspected RCVS with transient limb myoclonus following the intravenous administration of methylergometrine during cesarean section. A 31-year-old woman who received slowly infused intravenous methylergometrine during a cesarean section suddenly reported severe occipital headache after 40 min, followed by apnea and unconsciousness for 8 min. A second administration of methylergometrine to treat the weakness of her uterine contractions resulted in a repeated loss of consciousness within minutes and the development of limb myoclonus. No abnormalities were detected by brain computerized tomography, magnetic resonance imaging, and electroencephalogram. She fully recovered spontaneously within 12 h. We consider that the transient limb myoclonus in our patient appeared as a result of RCVS caused by the intravenous administration of methylergometrine.
- Subjects :
- Adult
Anesthesia, Epidural
Myoclonus
medicine.medical_specialty
Cerebral arteries
Uterine Contraction
Methylergonovine
Pregnancy
Oxytocics
Anesthesiology
Anesthesia, Obstetrical
Humans
Medicine
Methylergometrine
medicine.diagnostic_test
Cesarean Section
business.industry
Unconsciousness
Brain
Apnea
Electroencephalography
Magnetic resonance imaging
medicine.disease
Magnetic Resonance Imaging
Reversible cerebral vasoconstriction syndrome
Cerebrovascular Disorders
Anesthesiology and Pain Medicine
Vasoconstriction
Anesthesia
Injections, Intravenous
Female
medicine.symptom
Tomography, X-Ray Computed
business
medicine.drug
Subjects
Details
- ISSN :
- 14388359 and 09138668
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Journal of Anesthesia
- Accession number :
- edsair.doi.dedup.....c7f71e9a5c628858b17cc334e1df42e3
- Full Text :
- https://doi.org/10.1007/s00540-011-1122-7