For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
20
views
11
references
 Top references
cited by
5
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      181
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Spinal subdural hematoma with cauda equina syndrome: A complication of combined spinal epidural anesthesia

      case-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Combined spinal-epidural anesthesia (CSE) is considered safe in lower limb surgeries. We report a case of sudden neurological deterioration in a stable postoperative patient who was given CSE for total knee replacement and low molecular weight heparin in postoperative period. On the 4 th postoperative day, she developed sudden onset weakness in left lower limb along with bladder incontinence. Magnetic resonance imaging spine revealed a subdural hematoma at L2-L3 level. Immediate laminectomy along with cord decompression was done and patient recovered well except for a persistent foot drop on left side.

          Related collections

          Most cited references11

          • Record: found
          • Abstract: not found
          • Article: not found

          Anticoagulants and spinal-epidural anesthesia.

          J Vermylen, Egbert van Nes, E Vandermeulen (1994)
          Article 0 comments Cited 84 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Neurological complications after anaesthesia. A follow-up of 18,000 spinal and epidural anaesthetics performed over three years.

            N Dahlgren, K Törnebrandt (1995)
            17 733 consecutive central blocks (8501 spinal and 9232 epidural anaesthetics) performed during a three-year period were analyzed for alleged complications. Neurological complications related to anaesthesia were reported in 17 cases of which 13 patients had persisting lesions after three spinal and ten epidural blocks. In two patients given spinal anaesthesia, the technique was inadequate. In seven epidural blocks, the connection between neurological lesion and the anaesthetic technique could be argued. In five of these cases, polyneuropathy or nonspecific neurological symptoms were present. Three complications after epidural blocks were paraplegias caused by spinal haematomas in patients with deranged haemostatic capacity.
            Article 0 comments Cited 29 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Serious complications associated with spinal and epidural anaesthesia in Finland from 2000 to 2009.

              M Pitkänen, U Aromaa, D A Cozanitis … (2013)
              Analyses of closed claims provide insight into the characteristics of rare complications. Serious complications related to spinal and epidural blocks are relatively rare. In Finland, all malpractice cases are primarily handled by the Patient Insurance Centre (PIC) within a 'no-fault scheme'.
              Article 0 comments Cited 25 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): J Anaesthesiol Clin Pharmacol
                Journal ID (iso-abbrev): J Anaesthesiol Clin Pharmacol
                Journal ID (publisher-id): JOACP
                Title: Journal of Anaesthesiology, Clinical Pharmacology
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0970-9185
                ISSN (Electronic): 2231-2730
                Publication date (Print): Apr-Jun 2015
                Volume: 31
                Issue: 2
                Pages: 244-245
                Affiliations
                [1]Department of Anaesthesia, Shanti Mukund Hospital, New Delhi, India
                [1 ]Department of Anaesthesia and Critical Care, Dr. S N Medical College, Jodhpur, Rajasthan, India
                [2 ]Department of Orthopaedics, Indraprastha Apollo Hospital, New Delhi, India
                Author notes
                Address for correspondence: Dr. Priyanka Sethi, Department of Anaesthesia and Critical Care, Dr. S.N. Medical College, Jodhpur-342001, Rajasthan, India. E-mail: dr.priyanka_sethi@ 123456yahoo.co.in
                Article
                Publisher ID: JOACP-31-244
                DOI: 10.4103/0970-9185.155158
                PMC ID: 4411844
                PubMed ID: 25948911
                SO-VID: fc784ca7-e067-448c-aa19-c6e8348b2d23
                Copyright © Copyright: © Journal of Anaesthesiology Clinical Pharmacology
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: cauda equina syndrome,combined spinal epidural anesthesia,epidural analgesia,subdural hematoma
                Data availability:
                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: cauda equina syndrome, combined spinal epidural anesthesia, epidural analgesia, subdural hematoma

                Comments

                Comment on this article

                scite_

                Similar content181

                See all similar

                Cited by5

                See all cited by

                Most referenced authors64

                See all reference authors