Intracranial subdural hematoma following lumbar myelography

Alemohammad, Saeid; Bouzarth, William F.

doi:10.3171/jns.1980.52.2.0256

Cited by 27 publications

(6 citation statements)

References 14 publications

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“…Lomber ponksiyon sonrası PDPB, olguların yaklaşık %40'ında görülen ciddi bir klinik bulgudur. [26] Bizim çalışmamızda da, hastalar tarafından en sık belirtilen GNS bulgusu, başağrısı idi (%15.4). Çalışmamızda, işlem sonrası ortaya çıkan başağrısı sorgulanmıştır.…”

Section: Discussionunclassified

Transient neurological symptoms after spinal anesthesia

Çetin¹,

Kayacan

Karsli³

2018

Agri

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SummaryObjectives: Transient neurological symptoms (TNS) after spinal anesthesia vary from dysesthesia that is hardly noticed to severe pain. The aim of this study was to determine the incidence of TNS and provocative risk factors in 591 patients who underwent central block. Methods: Before the operation, demographic data and features of the operation and the block were recorded. The patients were evaluated at postoperative 24 and 48 hours and day 7 with regard to TNS in the form of pain (headache, lower back and/or limb pain, backache, pain in the puncture region) and sensation disorders (paresthesia, hypoesthesia, hyperesthesia, anesthesia, dysesthesia). Results: The incidence of TNS among the study patients was 35.7%. It was significantly higher in gynecology and urology patients and was higher in female patients in comparison with male patients. The incidence of TNS was greater when blood in the needle/catheter, pain, or paresthesia was seen, but was not associated with LA agents used in the study. Conclusion: A similar TNS incidence was seen in the results of this study as has been reported in the literature. A greater number of attempts, the lithotomy position, and co-morbidities such as ASHD and DM increase the incidence of TNS.Keywords: Regional anesthesia; TNS; sensation disorder. ÖzetAmaç: Santral blok sonrası gözlenen GNS, hastaların zorlukla farkına varabildikleri dizesteziden, çok şiddetli ağrıya kadar oldukça değişken ve geniş şikayetler dizisini içermektedir. GNS sıklığını ve potansiyelize eden risk faktörlerinin belirlenmesini amaçlayan bu çalışmaya, santral blok uygulanan 591 hasta dahil edildi. Gereç ve Yöntem: Operasyon öncesi hastaların demografik bilgileri, operasyon ve uygulanan blok türüne ait özellikler kaydedildi. Hastalar postoperatif 24, 48 saat ve 7. günde GNS olarak ağrı (başağrısı, bel ve/veya bacak ağrısı, sırt ağrısı, girişim yeri ağrısı) ve duyu kusurları (parestezi, hipoestezi, hiperestezi, anestezi, dizestezi) açısından değerlendirildi. Bulgular: Çalışmaya katılan hastalarda GNS sıklığı, %35.7 olarak hesaplanırken, bu oran KHD, üroloji hastalarında anlamlı olarak yüksekti. GNS, kadın hastalarda erkek hastalara göre anlamlı olarak fazla bulundu. Santral blok uygulamaları sırasında iğne/ kateterden kan gelmesi, ağrı ve parestezi varlığında, GNS insidansında artma izlenirken, kullanılan LA ajanlar arasında, GNS insidansında farklılık bulunmadı. Sonuç: Çalışmamızda literatür bilgileriyle benzer GNS oranları bulduk. Artan ponksiyon sayısı, litotomi pozisyonu, eşlik eden ASKH ve DM gibi komorbid durumlar GNS insidansını artırmaktadır.Anahtar sözcükler: Duyu kusuru; GNS; rejyonal anestezi. 58NISAN -APRIL 2018

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Section: Discussionunclassified

Transient neurological symptoms after spinal anesthesia

Çetin¹,

Kayacan

Karsli³

2018

Agri

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“…Headache is the most frequent complication after lumbar puncture, occurring in`40% of cases. 6 Such headaches are thought to be caused by excessive (`250 ml day ±1 ) 7 leakage of cerebrospinal¯uid (CSF) through the dural puncture, causing caudal displacement of intracranial structures. 8 This displacement then stretches the intracranial pain-sensitive dura, sinuses and blood vessels, causing pain.…”

Section: Discussionmentioning

confidence: 99%

Cranial subdural haematoma after spinal anaesthesia

Acharya

Chhabra

Ratra

et al. 2001

British Journal of Anaesthesia

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Intracranial subdural haematoma is an exceptionally rare complication of spinal anaesthesia. A 20-yr-old male underwent appendicectomy under partial spinal and subsequent general anaesthesia. A week later, he presented with severe headache and vomiting not responding to bed rest and analgesia. Magnetic resonance imaging showed a small acute subdural haematoma in the right temporo-occipital region. The patient improved without surgical decompression. The pathogenesis of headache and subdural haematoma formation after dural puncture is discussed and the literature briefly reviewed. Severe and prolonged post-dural puncture headache should be regarded as a warning sign of an intracranial complication.

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“…This report illustrates that cerebrospinal fl uid leakage after a dural tear during spinal surgery may cause intracranial hemorrhage. A previous head trauma could be a risk factor for such I ntracranial hemorrhage after cerebrospinal fl uid (CSF) leakage after medical procedures at the spinal level, such as dural lumbar puncture, 1-3 spinal anesthesia, 4-5 myelography, 6 and spinal surgery, 7-28 is a poorly recognized complication. We present a rare case of both supratentorial subdural hemorrhage (SDH) and cerebellar hemorrhage (CH) after spinal surgery.…”

Section: Supratentorial Subdural Hemorrhage Of a Previous Head Injurymentioning

confidence: 99%