Remote spinal epidural hematoma after spinal anesthesia for caesarean section

Authors

  • Maria João Leite Vilaça Hospital Prof. Dr. Fernando Fonseca
  • Ana Faísco Hospital Prof. Dr. Fernando Fonseca
  • Eduardo Beirão Reis Hospital Prof. Dr. Fernando Fonseca
  • Gil Alexandre Hospital Prof. Dr. Fernando Fonseca
  • Maria do Carmo Teixeira Hospital Prof. Dr. Fernando Fonseca

DOI:

https://doi.org/10.25751/rspa.9342

Keywords:

Anesthesia, Obstetrical, Cesarean Section, Hematoma, Epidural, Spinal

Abstract

In the last few decades there has been a widespread of the use of central neuraxial blockages (CNB) in obstetric patients. The complications from the CNB range from the bothersome to the crippling and life-threatening. Spinal epidural hematoma (SEH) is one of such severe complications. A 29-year-old pregnant woman at term, ASA II, was proposed for a caesarean section after inadequate progression of labour. Spinal anesthesia was administered and surgery was uneventful. The patient recovered from the motor and sensitive blockage but, twelve hours after the procedure, she started complaining of paresthesia over the lower limbs that progressed to paraplegia. An urgent magnetic resonance revealed a dorsally located SEH extending from D7 to D9, remote from the site of needle puncture. The patient was transferred and an emergency laminectomy and evacuation of the hematoma was conducted. One year after the event she remained with neurological deficits. 

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Published

2017-01-17

How to Cite

Vilaça, M. J. L., Faísco, A., Reis, E. B., Alexandre, G., & Teixeira, M. do C. (2017). Remote spinal epidural hematoma after spinal anesthesia for caesarean section. Journal of the Portuguese Society of Anesthesiology, 25(4), 130–132. https://doi.org/10.25751/rspa.9342

Issue

Vol. 25 No. 4 (2016): Journal of the Portuguese Society of Anesthesiology

Section

Case Report

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