Involuntary movement during and after neuraxial anesthesia, such as spinal and epidural anesthesia, is rarely observed. In this report, we describe a case of myoclonus-like involuntary movement of the upper extremities in a patient undergoing a planned repeat cesarean section under spinal anesthesia with bupivacaine that completely subsided after administration of 2 mg of midazolam. The myoclonus-like movement did not recur or cause any apparent neurological side effects.
Anesthesia ; Anesthesia, Epidural ; Anesthesia, Spinal ; Bupivacaine ; Cesarean Section* ; Cesarean Section, Repeat ; Dyskinesias* ; Female ; Humans ; Midazolam* ; Myoclonus ; Pregnancy ; Upper Extremity