Incidental Finding of Parasagittal Meningioma Following the Occurrence of Myoclonic Seizure after the Spinal Anesthesia
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Abstract
In the present manuscript, an 87-year-old man, who was a candidate for knee joint replacement surgery due to severe osteoarthritis of the right knee, was case reported. He underwent neuroaxial anesthesia. Following spinal anesthesia with bupivacaine 0.5% in the fourth and fifth lumbar vertebra, the patient developed myoclonic seizures in the lower limbs and abdomen that lasted during the surgery, as well. Due to the continuation of the seizures, the necessary examinations were performed and an extra-axial tumor in the left parasagittal was detected in the patient’s brain imaging.
[1] Lee JH, Yoon DH, Heo BH. Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia. Korean J Anesthesiol. 2020;73(6):518-24.
[2] De Tommaso O, Caporuscio A, Tagariello V. Neurological complications following central neuraxial blocks: are there predictive factors? Eur J Anaesthesiol. 2002;19(10):705-16.
[3] Shiratori T, Hotta K, Satoh M. Spinal myoclonus following neuraxial anesthesia: a literature review. J Anesth. 2019; 33(1):140-7.
[4] Celik Y, Demirel CB, Karaca S, Kose Y. Transient segmental spinal myoclonus due to spinal anaesthesia with bupivacaine. J Postgrad Med. 2003; 49(3):286-7.
[5] Caviness JN. Myoclonus. Continuum: Lifelong learning in neurology. 2019;25(4):1055-80.
[6] Hoss C. Anesthetic Implications for Patients with Friedreich’s Ataxia. 2019.
[7] Zouaoui S, Darlix A, Rigau V, Mathieu-Daudé H, Bauchet F, Bessaoud F, et al. Descriptive epidemiology of 13,038 newly diagnosed and histologically confirmed meningiomas in France: 2006–2010. Neurochirurgie. 2018; 64(1):15-21.
[8] Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology. 2004; 101(4):950-9.
[9] Cassim F, Houdayer E. Neurophysiology of myoclonus. Neurophysiologie Clinique/Clinical Neurophysiology. 2006; 36(5-6):281-91.
[10] Batra YK, Rajeev S, Lokesh VC, Rao KL. Spinal myoclonus associated with intrathecal bupivacaine and fentanyl in an infant. Can J Anaesth. 2007; 54:587-8.
[11] Abrão J, de Paula Bianco M, Roma W, de Souza Krippa JE, Hallak JE. Spinal myoclonus after subarachnoid anesthesia with bupivacaine. Rev Bras Anestesiol. 2011; 61(5):619-23.
[12] Budi V, Manohar N, Fultambkar G, Srinivasaiah B. Propriospinal myoclonus following spinal anesthesia: A rare complication. J Anaesthesiol Clin Pharmacol. 2019; 35(2):273-4.
[13] Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol. 2004; 3(10):598-607.
[14] Zamidei L, Bandini M, Michelagnoli G, Campostrini R, Consales G. Propriospinal myoclonus following intrathecal bupivacaine in hip surgery: a case report. Minerva Anestesiol. 2009; 76(4):290-3.
[15] Alonso R, Pisa D, Marina AI, Morato E, Rábano A, Rodal I, et al. Evidence for fungal infection in cerebrospinal fluid and brain tissue from patients with amyotrophic lateral sclerosis. Int J Biol Sci. 2015;11(5):546.
[2] De Tommaso O, Caporuscio A, Tagariello V. Neurological complications following central neuraxial blocks: are there predictive factors? Eur J Anaesthesiol. 2002;19(10):705-16.
[3] Shiratori T, Hotta K, Satoh M. Spinal myoclonus following neuraxial anesthesia: a literature review. J Anesth. 2019; 33(1):140-7.
[4] Celik Y, Demirel CB, Karaca S, Kose Y. Transient segmental spinal myoclonus due to spinal anaesthesia with bupivacaine. J Postgrad Med. 2003; 49(3):286-7.
[5] Caviness JN. Myoclonus. Continuum: Lifelong learning in neurology. 2019;25(4):1055-80.
[6] Hoss C. Anesthetic Implications for Patients with Friedreich’s Ataxia. 2019.
[7] Zouaoui S, Darlix A, Rigau V, Mathieu-Daudé H, Bauchet F, Bessaoud F, et al. Descriptive epidemiology of 13,038 newly diagnosed and histologically confirmed meningiomas in France: 2006–2010. Neurochirurgie. 2018; 64(1):15-21.
[8] Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology. 2004; 101(4):950-9.
[9] Cassim F, Houdayer E. Neurophysiology of myoclonus. Neurophysiologie Clinique/Clinical Neurophysiology. 2006; 36(5-6):281-91.
[10] Batra YK, Rajeev S, Lokesh VC, Rao KL. Spinal myoclonus associated with intrathecal bupivacaine and fentanyl in an infant. Can J Anaesth. 2007; 54:587-8.
[11] Abrão J, de Paula Bianco M, Roma W, de Souza Krippa JE, Hallak JE. Spinal myoclonus after subarachnoid anesthesia with bupivacaine. Rev Bras Anestesiol. 2011; 61(5):619-23.
[12] Budi V, Manohar N, Fultambkar G, Srinivasaiah B. Propriospinal myoclonus following spinal anesthesia: A rare complication. J Anaesthesiol Clin Pharmacol. 2019; 35(2):273-4.
[13] Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol. 2004; 3(10):598-607.
[14] Zamidei L, Bandini M, Michelagnoli G, Campostrini R, Consales G. Propriospinal myoclonus following intrathecal bupivacaine in hip surgery: a case report. Minerva Anestesiol. 2009; 76(4):290-3.
[15] Alonso R, Pisa D, Marina AI, Morato E, Rábano A, Rodal I, et al. Evidence for fungal infection in cerebrospinal fluid and brain tissue from patients with amyotrophic lateral sclerosis. Int J Biol Sci. 2015;11(5):546.
| Files | ||
| Issue | Vol 10 No 4 (2024): Autumn |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v10i4.16270 | |
| Keywords | ||
| Extra-axial brain tumor Myoclonic seizure Spinal anesthesia | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Honarmand A, Hoghooghy A, Mahabadi A, Safavi MR, Nazemroaya B. Incidental Finding of Parasagittal Meningioma Following the Occurrence of Myoclonic Seizure after the Spinal Anesthesia. Arch Anesth & Crit Care. 2023;10(4):407-410.
