Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia. View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Alessandro Svelato, Alberto Rutili, Caterina Bertelloni, Domenico Foti, Angela Capizzi, Antonio Ragusa

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. More... »

PAGES

54

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12871-019-0721-y

DOI

http://dx.doi.org/10.1186/s12871-019-0721-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1113377794

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30975081


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