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Anesthesia and analgesia · Aug 2004
Case ReportsSeizures after a Bier block with clonidine and lidocaine.
- Shihab U Ahmed, Ricardo Vallejo, and E Daniela Hord.
- Massachusetts General Hospital Pain Center, WACC-324, Massachusetts General Hospital, 15 Parkman Street, Boston, MA 02114, USA. sahmed@partners.org
- Anesth. Analg. 2004 Aug 1;99(2):593-4, table of contents.
AbstractA 47-yr-old man with history of complex regional pain syndrome type 1 underwent an IV Bier block with a mixture of lidocaine and clonidine. The tourniquet was deflated after 60 min, and approximately 10 min later he presented with complex partial seizures. The possible mechanisms for this are discussed, and the effects of clonidine, lidocaine, and the mixture of both are reviewed, as are four additional published cases reporting seizures after the administration of clonidine.
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