{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:43:14Z","timestamp":1787071394323,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:p>Magnesium sulfate is used frequently in the operation room and risks of wrong injection should be considered. A woman with history of pseudocholinesterase enzyme deficiency in the previous surgery was referred for cesarean operation. Magnesium sulfate of 700 mg (3.5 ml of 20% solution) was accidentally administered in the subarachnoid space. First, the patient had warm sensation and cutaneous anesthesia, but due to deep tissue pain, general anesthesia was induced by thiopental and atracurium. After the surgery, muscle relaxation and lethargy remained. At 8-10 h later, muscle strength improved and train of four (TOF) reached over 0.85, and then the endotracheal tube was removed. The patient was evaluated during the hospital stay and on the anesthesia clinic. No neurological symptoms, headache or backache were reported. Due to availability of magnesium sulfate, we should be careful for inadvertent intravenous, spinal and epidural injection; therefore before injection must be double checked.<\/jats:p>","DOI":"10.4103\/1658-354x.140906","type":"journal-article","created":{"date-parts":[[2014,9,16]],"date-time":"2014-09-16T06:36:50Z","timestamp":1410849410000},"page":"562-564","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Accidental intrathecal injection of magnesium sulfate for cesarean section"],"prefix":"10.4103","volume":"8","author":[{"given":"Mehryar Taghavi","family":"Gilani","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Cardiac Anesthesia Research Center, Imam-Reza Hospital, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahid","family":"Zirak","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Cardiac Anesthesia Research Center, Imam-Reza Hospital, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Razavi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250926","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.ijoa.2005.02.005","article-title":"Inadvertent intrathecal injection of labetalol in a patient undergoing post-partum tubal ligation","volume":"14","author":"Balestrieri","year":"2005","journal-title":"Int J Obstet Anesth"},{"key":"R2-20250926","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4103\/1658-354X.82811","article-title":"Inadvertent intrathecal injection of atracurium","volume":"5","author":"Zirak","year":"2011","journal-title":"Saudi J Anaesth"},{"key":"R3-20250926","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1111\/j.1556-4029.2006.00241.x","article-title":"Fatal accidental intrathecal injection of vindesine","volume":"51","author":"Tournel","year":"2006","journal-title":"J Forensic Sci"},{"key":"R4-20250926","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1177\/1078155212453752","article-title":"Deaths reported from the accidental intrathecal administration of bortezomib","volume":"18","author":"Gilbar","year":"2012","journal-title":"J Oncol Pharm Pract"},{"key":"R5-20250926","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1007\/s00540-011-1227-z","article-title":"Effects of adjunct intrathecal magnesium sulfate to bupivacaine for spinal anesthesia: A randomized, double-blind trial in patients undergoing lower extremity surgery","volume":"25","author":"Khalili","year":"2011","journal-title":"J Anesth"},{"key":"R6-20250926","doi-asserted-by":"crossref","first-page":"7","DOI":"10.4103\/2277-9175.94430","article-title":"Adding different doses of intrathecal magnesium sulfate for spinal anesthesia in the cesarean section: A prospective double blind randomized trial","volume":"1","author":"Jabalameli","year":"2012","journal-title":"Adv Biomed Res"},{"key":"R7-20250926","doi-asserted-by":"crossref","first-page":"254","DOI":"10.4103\/1658-354X.101217","article-title":"To evaluate the efficacy of intrathecal magnesium sulphate for hysterectomy under subarachnoid block with bupivacaine and fentanyl: A prospective randomized double blind clinical trial","volume":"6","author":"Nath","year":"2012","journal-title":"Saudi J Anaesth"},{"key":"R8-20250926","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.annfar.2010.10.018","article-title":"The effect of adding intrathecal magnesium sulphate to morphine-fentanyl spinal analgesia after thoracic surgery. 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