RESUMO
Abstract Subarachnoid haematoma after spinal anaesthesia is known to be very rare. In the majority of these cases, spinal anaesthesia was difficult to perform and/or unsuccessful; other risk factors included antiplatelet or anticoagulation therapy, and direct spinal cord trauma. We report a case of subarachnoid haematoma after spinal anaesthesia in a young patient without risk factors.
Resumo Hematoma subaracnoideo após anestesia espinal é conhecido por ser muito raro. Na maioria desses casos, a anestesia espinal foi difícil de executar e/ou malsucedida; outros fatores de risco incluem terapia anticoagulante ou antiplaquetária e trauma medular direto. Relatamos um caso de hematoma subaracnoideo após raquianestesia em paciente jovem sem fatores de risco.
Assuntos
Humanos , Masculino , Adulto , Doenças da Coluna Vertebral/etiologia , Hemorragia Subaracnóidea/etiologia , Raquianestesia/efeitos adversos , Complicações Pós-Operatórias , Complicações Pós-Operatórias/etiologia , Doenças da Coluna Vertebral/diagnóstico por imagem , Hemorragia Subaracnóidea/diagnóstico por imagem , Imageamento por Ressonância MagnéticaRESUMO
Subarachnoid haematoma after spinal anaesthesia is known to be very rare. In the majority of these cases, spinal anaesthesia was difficult to perform and/or unsuccessful; other risk factors included antiplatelet or anticoagulation therapy, and direct spinal cord trauma. We report a case of subarachnoid haematoma after spinal anaesthesia in a young patient without risk factors.
Assuntos
Raquianestesia/efeitos adversos , Doenças da Coluna Vertebral/etiologia , Hemorragia Subaracnóidea/etiologia , Adulto , Humanos , Imageamento por Ressonância Magnética , Masculino , Complicações Pós-Operatórias/etiologia , Fatores de Risco , Doenças da Coluna Vertebral/diagnóstico por imagem , Hemorragia Subaracnóidea/diagnóstico por imagemRESUMO
Subarachnoid haematoma after spinal anaesthesia is known to be very rare. In the majority of these cases, spinal anaesthesia was difficult to perform and/or unsuccessful; other risk factors included antiplatelet or anticoagulation therapy, and direct spinal cord trauma. We report a case of subarachnoid haematoma after spinal anaesthesia in a young patient without risk factors.
RESUMO
This report involves a 54-year-old man who died following refractory ventricular fibrillation after ingestion of a plant in a suicide attempt. Repeated direct-current cardioversions were unsuccessful and no single anti-arrhythmic agent was effective for arrhythmia control. The routine blood toxicological screening was negative. Aconitine, the main toxin of Aconitum napellus was identified using a specific liquid chromatography-tandem mass spectrometry (LC-MS/MS) method. The whole blood concentration (24 microg/l) was higher than those reported in other aconitine-related deaths. The patient had found information about the life-threatening nature of such a toxic herb intake on a free medical encyclopedia online.