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Masseter muscle rigidity after vecuronium

Published online by Cambridge University Press:  16 August 2006

J. G. Jenkins
Affiliation:
Department of Anaesthesia, Royal Surrey County Hospital, Guildford, Surrey GU2 5XX, UK
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Abstract

Masseter muscle rigidity after suxamethonium, usually occurring in children induced with halothane,is associated with malignant hyperthermia. A case is reported in which masseter muscle rigidity occurred in an adult following vecuronium. From the limited data available, this and two similar reported cases, it appears that non-depolarizing muscle relaxants can, very rarely, cause masseter muscle rigidity in adults. This masseter muscle rigidity may complicate airway management, but is unlikely to progress to generalized rigidity and malignant hyperthermia.

Type
Case Report
Copyright
1999 European Society of Anaesthesiology

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