Remote spinal epidural hematoma after spinal anesthesia for caesarean section

Detalhes bibliográficos
Autor(a) principal: Vilaça, Maria João Leite
Data de Publicação: 2017
Outros Autores: Faísco, Ana, Reis, Eduardo Beirão, Alexandre, Gil, Teixeira, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.9342
Resumo: 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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spelling Remote spinal epidural hematoma after spinal anesthesia for caesarean sectionHematoma epidural remoto após bloqueio subaracnoideu para cesarianaCaso ClínicoIn 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. Nas últimas décadas tem havido uma generalização do uso do bloqueio do neuroeixo (BNE) em obstetrícia. As complicações associadas ao BNE oscilam entre o incomodativo e o extremamente grave e potencialmente letal. O Hematoma epidural espinhal (HES) é uma das complicações mais graves. Uma grávida de 29 anos de idade em termo de gestação, ASA II, foi proposta para cesariana após progressão inadequada do trabalho de parto. Foi realizado um bloqueio subaracnoideu e a cirurgia decorreu sem intercorrências. A parturiente recuperou do bloqueio motor e sensitivo mas, doze horas após o procedimento, começou a referir parestesia nos membros inferiores que progrediram para paraplegia posteriormente. A ressonância magnética realizada revelou um HES localizado a nível dorsal, de D7 a D9, localização remota do local de punção com agulha. A doente foi transferida para realização de laminectomia e evacuação do hematoma. Um ano após o evento permanecia com deficit neurológicos.Sociedade Portuguesa de Anestesiologia2017-01-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.9342eng0871-6099Vilaça, Maria João LeiteFaísco, AnaReis, Eduardo BeirãoAlexandre, GilTeixeira, Maria do Carmoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:42Zoai:ojs.revistas.rcaap.pt:article/9342Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:11.169656Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Remote spinal epidural hematoma after spinal anesthesia for caesarean section
Hematoma epidural remoto após bloqueio subaracnoideu para cesariana
title Remote spinal epidural hematoma after spinal anesthesia for caesarean section
spellingShingle Remote spinal epidural hematoma after spinal anesthesia for caesarean section
Vilaça, Maria João Leite
Caso Clínico
title_short Remote spinal epidural hematoma after spinal anesthesia for caesarean section
title_full Remote spinal epidural hematoma after spinal anesthesia for caesarean section
title_fullStr Remote spinal epidural hematoma after spinal anesthesia for caesarean section
title_full_unstemmed Remote spinal epidural hematoma after spinal anesthesia for caesarean section
title_sort Remote spinal epidural hematoma after spinal anesthesia for caesarean section
author Vilaça, Maria João Leite
author_facet Vilaça, Maria João Leite
Faísco, Ana
Reis, Eduardo Beirão
Alexandre, Gil
Teixeira, Maria do Carmo
author_role author
author2 Faísco, Ana
Reis, Eduardo Beirão
Alexandre, Gil
Teixeira, Maria do Carmo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Vilaça, Maria João Leite
Faísco, Ana
Reis, Eduardo Beirão
Alexandre, Gil
Teixeira, Maria do Carmo
dc.subject.por.fl_str_mv Caso Clínico
topic Caso Clínico
description 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. 
publishDate 2017
dc.date.none.fl_str_mv 2017-01-17T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25751/rspa.9342
url https://doi.org/10.25751/rspa.9342
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0871-6099
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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