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Title: Subdural spinal haematoma after epidural anaesthesia in a patient with spinal canal stenosis.
Austin Authors: Chan, M Y L;Lindsay, D A
Affiliation: Department of Anaesthesia, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Apr-2006
Publication information: Anaesthesia and Intensive Care; 34(2): 269-75
Abstract: 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.
Gov't Doc #: 16617653
Type: Journal Article
Subjects: Anesthesia, Epidural.adverse effects
Hematoma, Subdural, Spinal.diagnosis.etiology
Magnetic Resonance Imaging
Middle Aged
Spinal Stenosis.complications.diagnosis
Appears in Collections:Journal articles

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