This is the case report of a 58-year-old man who developed acute severe hypoglycemia after a spinal block. He had a history of injecting insulin combined with 50% dextrose for hyperkalemia control. After the spinal block, he presented with hypo-glycemic symptoms and went into convulsions. Following injection of midazolam and 10 ml of 50% dextrose, his mental state returned to alert. We recommend careful monitoring of blood sugar level of chronic kidney disease patients who under-go neuraxial block.

• 안태훈(조선대학교병원 마취통증의학과) | Tae Hun An Corresponding author
• 박경희(광주기독병원 마취통증의학과) | Kyung Hee Park
• 임용석(광주기독병원 마취통증의학과) | Yong Seok Lim
• 조재형(광주기독병원 마취통증의학과) | Jae Hyoung Cho
• 서영중(광주기독병원 마취통증의학과) | Young Joong Suh