Remote spinal epidural hematoma after spinal anesthesia for caesarean section

Vilaça, MJ; Faísco, A; Reis, E; Alexandre, G; Teixeira, MC

http://hdl.handle.net/10400.10/1908

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
Rev Soc Port Anestesiol Vol. 25 - nº4 2016.pdf		578.89 KB	Adobe PDF	Download

Send Feedback

Authors

Abstract(s)

In the last few decades there has been a widespread of the use of central neuraxial blockages (CNB) in obstetric patients. The complications from the CNB range from the bothersome to the crippling and life-threatening. Spinal epidural hematoma (SEH) is one of such severe complications. A 29-year-old pregnant woman at term, ASA II, was proposed for a caesarean section after inadequate progression of labour. Spinal anesthesia was administered and surgery was uneventful. The patient recovered from the motor and sensitive blockage but, twelve hours after the procedure, she started complaining of paresthesia over the lower limbs that progressed to paraplegia. An urgent magnetic resonance revealed a dorsally located SEH extending from D7 to D9, remote from the site of needle puncture. The patient was transferred and an emergency laminectomy and evacuation of the hematoma was conducted. One year after the event she remained with neurological deficits.

Keywords

Anestesia obstétrica Anestesia epidural Hematoma epidural dorsal Cesariana

URI

http://hdl.handle.net/10400.10/1908

Citation

Rev Soc Port Anestesiol. 2016; 25 (4): 130-132

Publisher

Sociedade Portuguesa de Anestesiologia

Collections

ANES - Artigos publicados em revistas não indexadas

Full item page