Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review

Zheng, Hong-Xiang; Nyam, Tee-Tau Eric; Liu, Che-An; Lee, Yao-Lin; Kuo, Jinn‐Rung; Sung, K. C.

doi:10.1016/j.wneu.2020.01.240

Cited by 11 publications

(13 citation statements)

References 11 publications

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“…Spontaneous neuraxial hematomas in pregnancy are rare, having been described only in a limited number of case reports. [4][5][6] They typically present in the third trimester with progressive motor impairment and are most often localized at the cervicothoracic junction. Back or neck pain is a common feature.…”

Section: Discussionmentioning

confidence: 99%

Not All Subarachnoid Hemorrhages in Pregnancy Are Intracranial in Origin: A Case Report

Kodali

Wong²,

Galey³

et al. 2021

A&A Practice

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Subarachnoid hemorrhage is uncommon in pregnancy and may be caused by intracranial aneurysms, arteriovenous malformations, venous thrombosis, or preeclampsia. We present an unusual case of subarachnoid hemorrhage in a term parturient where the bleeding originated from an extracranial source, namely a cervicothoracic arteriovenous malformation. This case highlights the challenge of diagnosing this condition when the initial presentation may be nonspecific, lacking in neurologic deficits, and confounded by the simultaneous presence of preeclampsia.

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Section: Discussionmentioning

confidence: 99%

Not All Subarachnoid Hemorrhages in Pregnancy Are Intracranial in Origin: A Case Report

Kodali

Wong²,

Galey³

et al. 2021

A&A Practice

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“…65 Symptom onset may post-date catheter removal by several days. 66,67 Early recognition of haematoma formation and neurological sequelae is critical as immediate surgical decompression is required, optimal neurologic outcomes occurring with surgery within 12 h of initial symptoms. 68 Emergency MRI (or CT if MRI is not available/contraindicated) should be performed if SEH is considered.…”

Section: Spinalmentioning

confidence: 99%

“…70 Interestingly, spontaneous spinal epidural haematoma unrelated to or distant from the site of neuraxial anaesthesia have been reported in second and third trimester, usually involving the cervicothoracic spine, highlighting that increased pressure in the venous plexus can cause spontaneous vascular rupture. 67,71…”

Section: Spinalmentioning

confidence: 99%

Postpartum complications following neuraxial anaesthesia for obstetric physicians

Lawrence

Morton

2022

Obstet Med

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Neuraxial analgesia and anaesthesia are widely accepted and well-tolerated modes of delivery analgesia, being employed in up to 76% of vaginal deliveries and 94% of caesarean deliveries in the United States. 1 A cause of considerable concern for postpartum women, their family and caring health professionals is the occurrence of unexplained postpartum complications, not only for management in the index pregnancy, but the uncertain risk of recurrence in future pregnancies. Complications of neuraxial blocks may impact significantly on the ability of mothers to care for and bond with their newborn. The reported incidence of temporary neurological deficit following obstetric neuraxial blocks is 1 in 3900 procedures, and the risk of permanent neurological harm estimated to be between 1 in 80,000 and 1 in 320,425 procedures. 2 Obstetric physicians may be asked to review women with postpartum complications following neuraxial blocks. This article reviews complications that may be seen following neuraxial blocks for delivery.

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“…Ahora, los riesgos que se asocian a la anestesia locorregional pueden ser: toxicidad neurológica en ramas o plexos nerviosos, con parálisis temporal o permanente tipo síndrome de cauda equina; hemorragia epidural con secuelas de parálisis permanente; lesión medular irreversible; arritmias; hipotensión; bradicardia; convulsiones; depresión del sistema nervioso central y muerte (Zheng et al 2020), (Spector et al 2008), (Pardina et al 2001), (Lin et al 2017).…”

Section: Actos Anestésicos Y Sus Riesgosunclassified

El consentimiento legítimo en la práctica anestésica

Kirby

Jaimes

2021

RACJI

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En el presente artículo se parte de la conceptualización del procedimiento anestésico como un acto médico complejo expuesto a los riesgos de toda intervención farmacológica e instrumental, capaz de producir secuelas que van desde efectos leves hasta consecuencias fatales, por lo cual se propone una estrategia para mejorar su aplicación y legitimar su contenido con un formato de consentimiento que reúna las condiciones de legitimidad y legalidad que pueda servir como referente a que los médicos anestesiólogos públicos y privados del Sistema de Salud.

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Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review

Cited by 11 publications

References 11 publications

Not All Subarachnoid Hemorrhages in Pregnancy Are Intracranial in Origin: A Case Report

Not All Subarachnoid Hemorrhages in Pregnancy Are Intracranial in Origin: A Case Report

Postpartum complications following neuraxial anaesthesia for obstetric physicians

El consentimiento legítimo en la práctica anestésica

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