Two Case Reports of Seizure Following Inadvertent Injection of Tranexamic Acid into Subarachnoid Space.
10.4097/kjae.1994.27.11.1686
- Author:
Yi Chun JUNG
1
;
Sang Ho LEE
;
Cheol Seung LEE
;
Won Tae KIM
Author Information
1. Department of Anesthesiology, Kwangju Christian Hospital, kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Seizure;
Inadvertent injection;
Subarachnoid space;
Tranexamic acid
- MeSH:
Amnesia;
Anesthesia, Spinal;
Anticonvulsants;
Antihypertensive Agents;
Epinephrine;
Glucose;
Herniorrhaphy;
Humans;
Hypertension;
Muscle Spasticity;
Neurologic Manifestations;
Oxygen;
Seizures*;
Skin;
Subarachnoid Space*;
Tachycardia;
Thoracic Wall;
Tranexamic Acid*;
Transplants;
Upper Extremity;
Ventilators, Mechanical
- From:Korean Journal of Anesthesiology
1994;27(11):1686-1691
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced two cases of convulsive seizure, accompanied with tachycardia and hypertension following spinal anesthesia for inguinal herniorrhaphy and skin graft. Spinal anesthesia was performed with teracaine, 10% dextrose solution and epinephrine. Tranexamic acid was used instead of 10% dextrose solution inadvertently. About 2 hours after spinal anesthesia, the patients developed spastic rigidity at the upper extremities and chest wall that progressed to episthotonus and seizure preceded by tachycardia and hypertension. About 40 hours after vigorous symptomatic treatment using mechanical ventilator, oxygen, short acting barbiturate, antihypertensive drugs and anticonvulsants, the patients had recovered completely with clear mental state. And they didn't show any other neurologic deficits except amnesia.
