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Unexpected Recurrent Seizures Following Repeated Spinal Injections of Tetracaine — A Case Report

重覆施行脊髓麻醉後發生痙攣之病例報告

摘要


一位36歲男性因左側輸尿管結石接受手術。在重覆施行脊髓麻醉後,病患發生數次痙攣。查覆文獻後,并無相關的報告。我們認為導致癲癇的可能原因為局部麻醉藥的中樞神經毒性所致。我們提出此一病例,是希望當我們在使用局部麻醉藥時,必須注意其可能伴隨而來的毒性。

關鍵字

局部麻醉劑 脊髓麻醉 痙攣

並列摘要


A 36-year-old male patient was scheduled to undergo ureteroscopic lithotomy because of left ureteral stone under spinal anesthesia. After receiving a renewed spinal anesthesia with 8 mg tetracaine to compensate for the first attempt (with 10 mg tetracaine), which proved to be a failure, he was soon seized with episodic seizure attacks. Central nervous system toxicity of the local anesthetic might be the cause of the seizure. We brought forward this case for discussion for warning that the possibility of systemic toxicity of local anesthetic might exist despite a seemingly undisputable spinal anesthesia.

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