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Spinal anesthesia in a patient with postoperative iatrogenic pseudomeningocele - A case report -
Anesth Pain Med 2018;13(1):107-10
Published online January 31, 2018
© 2018 Korean Society of Anesthesiologists.

Jae-woo Lee, Hyoseok Kang , Eun-Su Choi, Jin Wook Seol, and Sojin Shin
Department of Anesthesiology and Pain Medicine, Nowon Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea
Correspondence to: Hyoseok Kang, M.D., Ph.D.
Department of Anesthesiology and Pain Medicine, Nowon Eulji Medical Center, Eulji University College of Medicine, 68 Hangeulbiseok-ro, Nowon-gu, Seoul 01830, Korea
Tel: 82-2-940-8350
Fax: 82-2-940-8350
E-mail: hskang0108@eulji.ac.kr
ORCID
http://orcid.org/0000-0003-2276-8005
Received July 4, 2017; Revised August 17, 2017; Accepted August 22, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Although spinal anesthesia is one of the most reliable anesthetic techniques in clinical practice, failures may occur in daily practice at rare occasions. Their causes are diverse and they include anatomical structural variations. In particular, postoperative anatomical changes often occur in patients who have undergone spine surgery and may cause failures of spinal anesthesia. Postoperative pseudomeningocele constitutes extradural cerebrospinal fluid collected from a dural tear and it is considered a very rare complication of spine surgery. We describe the case where a patient with unexpected postoperative iatrogenic pseudomeningocele received lower extremity surgery under spinal anesthesia.
Key Words : Arachnoid cyst, Spinal anesthesia.


January 2018, 13 (1)
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