Trombose venosa cerebral após raquianestesia: relato de caso

Bisinotto, Flora Margarida Barra; Dezena, Roberto Alexandre; Abud, Tania Mara Vilela; Martins, Laura Bisinotto

doi:10.1016/j.bjan.2014.09.005

Cited by 5 publications

(7 citation statements)

References 26 publications

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“…These abnormalities would lead to cerebral venous thrombosis [1] They have become permanent motivating the reconsideration of the diagnosis of PSPH. Clinical signs are rarely typical when it occurs after a spinal anesthesia [7] [10] [11]. Headaches can be isolated as described in our case and lead to a delay in diagnosis.…”

Section: Discussionmentioning

confidence: 85%

“…In pathological conditions, the decrease or increase of one of these elements will cause a compensatory change in the volume of the others, so that the intracranial content remains constant. In the specific case of spinal puncture, when CSF hypotension occurs, the volume and pressure of the CSF are significantly reduced [2] [7]. Increased volemia in the venous system will compensate for decreased CSF volume and lead to venous dilation.…”

Section: Discussionmentioning

confidence: 99%

“…It highlights the venous infarction and its seat. MRI in his venous time had helped to appreciate the impact by revealing the lack of flow in the venous sinus as described in the literature [7] [8] [9]. The care then becomes urgent and without delay.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

Kaboré¹,

Ouiminga²,

Lompo³

et al. 2021

WJNS

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Introduction: Cerebral venous thrombosis (CVT) is a rare complication of spinal anesthesia. The diagnosis is difficult when it occurs by isolated headache, following post spinal puncture headache (PSPH). We report a case of cerebral venous thrombosis complicating PSPH, following a spinal anesthesia. Observation: A 23-year-old man was admitted to the emergency room for PSPH appeared 6 hours after a spinal aesthesia for removal of osteosynthesis equipment from the right tibial plateau. The headache was fronto-occipital, relieved by lying down. Six days later, headache became permanent, not relieved by morphine, associated with vomiting. The neurological examination was normal. Brain magnetic resonance Magnetic venography showed superior sagittal sinus and right transverse sinus thrombosis. After administration of low molecular weight heparin at curative dose, and warfarin under INR control, the evolution was marked by a rapid regression of headaches on the same day. After a 1-year setback, the patient was asymptomatic. Conclusion: CVT is a rare complication of spinal anesthesia and potentially severe if diagnosed lately. Urgent brain imaging must be performed for any atypical headache or the onset of neurological disorders so as not to misunderstand cerebral vein thrombosis. Controlling the spine anesthesia would reduce the inadvertent perforation of the dura-mother that would lead to CVT complicating post spinal puncture headaches.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

Kaboré¹,

Ouiminga²,

Lompo³

et al. 2021

WJNS

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“…Porém, um estudo recente sobre o tromboembolismo venoso destacou que esta complicação de saúde é mais frequente na região Sul do Brasil e que isto está relacionado com as baixas temperaturas presentes nestas regiões (OHKI; BELLEN, 2017). Bisinotto et al, (2014), confirmam que fenômenos tromboembólicos são comuns em mulheres entre 20 e 35 anos, e parece não haver predomínio étnico. A deficiência de antitrobina, proteína C e proteína S, fator de Leiden e mutação do gene da protrombina estão presentes em metade dos casos de tromboembolismo na gravidez e no puerpério (HILLMANN et al, 2015).…”

Section: Artigounclassified

“…Quando relacionada ao período pós-parto, a TVC pode ter um início agudo ou mais prolongado. A congestão venosa e o dano ao endotélio vascular, que podem ser secundários ao trabalho de parto e ao período expulsivo, em combinação com o estado de hipercoagulabilidade típico do período pós-parto, poderiam contribuir para o aumento do risco após o nascimento (BISINOTTO et al, 2014).…”

Section: Introductionunclassified

Eventos Tromboembólicos Em Mulheres Grávidas E Puérperas

Ramos¹,

Barros²,

Almeida³

et al. 2018

Enci Bio

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Venous thromboembolism (VTE) is one of the main causes of obstetric morbimortality in women who are in the pregnancy-puerperal cycle, since the blood hypercoagulability, provided in pregnancy, significantly increases the probability of the onset of this disease, which is associated with some risk factors, often unknown. The objective of this study was to identify the risk factors associated with thromboembolic events in women in the pregnancy-puerperal cycle.

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Neurological complications following spinal anaesthesia in a goat

Ishihara,

Bayne,

Yin

et al. 2024

Vet Record Case Reports

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A 2‐year‐old, female, mixed breed goat presented for an abdominal hernia repair. After anaesthetic induction, spinal anaesthesia at the level of the lumbosacral junction was performed with preservative‐free morphine. After extubation, the patient developed neurological symptoms, which included extensor rigidity in the hindlimbs, twisting and bending at the thoracolumbar junction, and horizontal nystagmus. The patient also began vocalising and had hypersalivation. Three hours after the completion of anaesthesia, the patient was able to rise on its own. Two days after general anaesthesia, the patient collapsed unexpectedly. The postmortem examination revealed spinal haemorrhage and pulmonary thrombosis. Pulmonary thrombosis might have led to the death of the goat; however, a definitive conclusion was not reached regarding the cause of the pulmonary thrombosis and spinal haemorrhage. Veterinarians should be aware of possible complications with spinal anaesthesia, although rare; the evident cause for the neurological symptoms in this case remains unclear.

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Trombose venosa cerebral após raquianestesia: relato de caso

Cited by 5 publications

References 26 publications

Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

Eventos Tromboembólicos Em Mulheres Grávidas E Puérperas

Neurological complications following spinal anaesthesia in a goat

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