Subdural spinal haematoma after epidural anaesthesia in a patient with spinal canal stenosis

被引：4

作者：

Chan, MYL ^{[1
]}

Lindsay, DA ^{[1
]}

机构：

[1] Austin Hosp, Dept Anaesthesia, Heidelberg, Vic 3084, Australia

来源：

ANAESTHESIA AND INTENSIVE CARE | 2006年 / 34卷 / 02期

关键词：

spinal subdural haematoma; spinal stenosis; epidural anaesthesia;

D O I：

10.1177/0310057X0603400214

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A 60-year-old male with a past history of T12 fracture had epidural analgesia for a radical prostatectomy. It was unknown prior to epidural insertion that the patient had a canal stenosis at T12 from the previous injury The patient developed severe bilateral buttock pain after epidural catheter removal. Magnetic resonance imaging demonstrated a spinal subdural haematoma from T10 to L2 with mild cord compression. The patient made a successful recovery with conservative management. Neuraxial blockade should be approached with caution in patients with previous back injury, and only after a thorough assessment has been obtained to exclude spinal canal stenosis.

引用

页码：269 / 275

页数：7

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