Failed spinal anaesthesia: cause identified by MRI View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1996-10

AUTHORS

Yoshihiro Hirabayashi, Hirokazu Fukuda, Kazuhiko Saitoh, Soichiro Inoue, Hiromasa Mitsuhata, Reiju Shimizu

ABSTRACT

PURPOSE: To determine the cause of failed spinal anaesthesia, magnetic resonance images of the lumbar spine were examined. CLINICAL FUTURES: A 28-yr-old woman, scheduled for closure of a rectal fistula under spinal anaesthesia, hyperbaric tetracaine 12.5 mg injected into the subarachnoid space at L3-4 repeatedly resulted in restricted sacral spread. Magnetic resonance imaging showed that the cylindrical dimension of the lumbar spinal canal was wider than in normal subjects, suggesting a larger volume of CSF within the dural sac below the termination of the cord. The summit of the lumbar convexity was located at L3, which was more cephalad than the L3-4 puncture site. CONCLUSION: The uncommon anatomical characteristics of the lumbar spinal canal identified by magnetic resonance imaging were considered to be the reason for the restricted sacral spread observed repeatedly in this patient. More... »

PAGES

1072-1075

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03011913

DOI

http://dx.doi.org/10.1007/bf03011913

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043337550

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8896863


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