caa a22 4500 445373733 CHVBK 20180317142956.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1122-7 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1122-7 Reversible cerebral vasoconstriction syndrome with limb myoclonus following intravenous administration of methylergometrine [Elektronische Daten] [Tomoko Ishibashi, Satoru Ishibashi, Tokujiro Uchida, Koichi Nakazawa, Koshi Makita] Neurological deficits associated with methylergometrine have been reported primarily as a result of reversible cerebral vasoconstriction syndromes (RCVS). RCVS are characterized by reversible multifocal vasoconstrictions of the cerebral arteries heralded by acute severe headache with or without neurological deficits. Here, we present the first case of suspected RCVS with transient limb myoclonus following the intravenous administration of methylergometrine during cesarean section. A 31-year-old woman who received slowly infused intravenous methylergometrine during a cesarean section suddenly reported severe occipital headache after 40 min, followed by apnea and unconsciousness for 8min. A second administration of methylergometrine to treat the weakness of her uterine contractions resulted in a repeated loss of consciousness within minutes and the development of limb myoclonus. No abnormalities were detected by brain computerized tomography, magnetic resonance imaging, and electroencephalogram. She fully recovered spontaneously within 12h. We consider that the transient limb myoclonus in our patient appeared as a result of RCVS caused by the intravenous administration of methylergometrine. Japanese Society of Anesthesiologists, 2011 Limb myoclonus nationallicence Methylergometrine nationallicence Reversible cerebral vasoconstriction syndrome (RCVS) nationallicence Ishibashi Tomoko Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut Ishibashi Satoru Department of Neurology and Neurological Science, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan aut Uchida Tokujiro Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut Nakazawa Koichi Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut Makita Koshi Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 405-408 0913-8668 25:3<405 2011 25 540 https://doi.org/10.1007/s00540-011-1122-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1122-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ishibashi Tomoko Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Ishibashi Satoru Department of Neurology and Neurological Science, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan aut NATIONALLICENCE 700 1- Uchida Tokujiro Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Nakazawa Koichi Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Makita Koshi Department of Anesthesiology, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, 113-8519, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 405-408 0913-8668 25:3<405 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer