Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia.
BMC Anesthesiol
; 19(1): 54, 2019 04 11.
Article
in En
| MEDLINE
| ID: mdl-30975081
ABSTRACT
BACKGROUND:
Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical presentation of spinal epidural hematoma is even rarer and insidious. CASE PRESENTATION We reported a case of a 44-year-old woman who underwent a caesarean section for a twin pregnancy during which a delayed dorsal spinal epidural hematoma occurred. Symptoms were reported 5 days after surgery and 72 h after removal of the epidural catheter. An MRI scan showed a dorsal epidural hematoma. The patient was moved to the Neurosurgical Department and underwent decompression surgery.CONCLUSION:
The possibility of the delayed onset of a spinal epidural hematoma in a pregnant woman who undergoes epidural anaesthesia in labour must always be taken into consideration. In order to achieve the best clinical result, we stress the importance of a timely diagnosis and prompt surgical treatment.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Puerperal Disorders
/
Hematoma, Epidural, Spinal
/
Anesthesia, Epidural
/
Anesthesia, Spinal
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
BMC Anesthesiol
Year:
2019
Document type:
Article
Affiliation country:
Italia