Tehran University of Medical Sciences

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Tonic Clonic Convulsions Induced by Low Dose Intrathecal Bupivacaine and Intraurethral Lidocaine Gel



Akrami M1 ; Akhavizadegan H1 ; Afsari F1
Authors
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Authors Affiliations
  1. 1. Baharloo Hospital, Rahahan Sq, Behdari St, Tehran, Iran

Source: Anaesthesia# Pain and Intensive Care Published:2016

Abstract

Local anesthetics are commonly used as analgesic and anesthetics. The systemic toxicity of local anesthetics involves CNS and cardiovascular system. Grand mal seizure, as a critical event may occur during toxicity due to high doses, rapid entry of local anesthetic into the systemic circulation and erroneous injection of local anesthetics through the intravenous route. We would like to present a case that experienced tonic clonic convulsion in spite of administration of low dose intrathecal bupivacaine and intraurethral lidocaine gel.