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VOLUME 4 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Generalized Tonic-clonic Seizures Following Spinal Anesthesia Using Bupivacaine for Cesarean Section: A Case Report

Jasleen Kaur, Sukhman K Gill, Anita Kumari, Chiteshwar Walia, Harmandeep Kaur

Keywords : Bupivacaine, Cesarean section, Spinal anesthesia, Tonic-clonic seizures

Citation Information : Kaur J, Gill SK, Kumari A, Walia C, Kaur H. Generalized Tonic-clonic Seizures Following Spinal Anesthesia Using Bupivacaine for Cesarean Section: A Case Report. Curr Trends Diagn Treat 2020; 4 (1):29-30.

DOI: 10.5005/jp-journals-10055-0081

License: CC BY-NC 4.0

Published Online: 28-09-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Generalized seizures have been reported following epidural anesthesia but rarely after spinal anesthesia. Aim and objective: The aim and objective of our study is to create awareness about a rare possibility of bupivacaine-induced generalized tonic-clonic seizures. Case description: A 19-year-old primigravida with no history of any medical disease had episodes of generalized tonic-clonic seizures following spinal anesthesia. The patient lost consciousness and was immediately intubated after two episodes of seizures. Later on, she was shifted to the intensive care unit for mechanical ventilation. Conclusion: Although convulsions following spinal anesthesia are rare, parturients can develop complications such as generalized tonic-clonic seizures, respiratory depression, and loss of consciousness following spinal anesthesia. These patients require stringent and meticulous monitoring in perioperative period as those for general anesthesia.


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