Korean J Anesthesiol.  2012 Aug;63(2):173-176. 10.4097/kjae.2012.63.2.173.

Seizure developed after palonosetron intravenous injection during recovery from general anesthesia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul, Korea. nbjhwa@naver.com

Abstract

Seizure associated with antiemetics is rare. We report seizure associated with a 5-HT3 receptor antagonist in a 38 years old female. The patient underwent ureterorenoscopic lithotripsy due to left upper ureter stone. After operation, the patient complained of nausea in the postanesthetic recovery unit. In order to subside symptom, the patient was administrated 5-HT3 receptor antagonist, palonosetron, 0.075 mg intravenously. Shortly after administration of that, the patient developed generalized tonic-clonic seizures. The symptom was subsided after midazolam and thiopental sodium were injected. But 40 minutes later, seizure recurred and subsided with midazolam again. The patient recovered completely without any specific sequelae.

Keyword

Palonosetron; Seizure; 5-HT3R antagonist

MeSH Terms

Antiemetics
Female
Humans
Injections, Intravenous
Isoquinolines
Lithotripsy
Midazolam
Nausea
Quinuclidines
Receptors, Serotonin, 5-HT3
Seizures
Thiopental
Ureter
Antiemetics
Isoquinolines
Midazolam
Quinuclidines
Receptors, Serotonin, 5-HT3
Thiopental
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