seizure post-op total knee who had an epidural running with Bupiv 0.125 @ 10cc/hr and the surgeon had used exparel.

No Hx of Sz
No other relevant issues or Hx

Diluted exparel to a total of 40cc with all 40 injected. Seizure occurred 5 hours after Exparel injected and approx 10 min after the epidural was topped off with 5 cc of 1.5% Lido with Epi. Negative test dose. Epidural was going @ 10cc/hr.