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Subarachnoid hematoma after spinal anesthesia - A case report -
Anesth Pain Med 2018;13(2):154-7
Published online April 30, 2018
© 2018 The Korean Society of Anesthesiologists.

Won Jang, Yong-Hyun Cho , Dong-Hyun Lee, and Sun-Hee Kim
Department of Anesthesiology and Pain Medicine, Seoul Sungsim General Hospital, Seoul, Korea
Correspondence to: Yong-Hyun Cho, M.D.
Department of Anesthesiology and Pain Medicine, Seoul Sungsim General Hospital, 259 Wangsanro, Dongdaemun-gu, Seoul 02488, Korea
Tel: 82-2-966-1616
Fax: 82-2-968-2394
E-mail: anesthecho@naver.com
ORCID
http://orcid.org/0000-0002-8323-1933
Received August 29, 2017; Revised October 18, 2017; Accepted October 19, 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
Spinal subarachnoid hematoma is a very rare complication of spinal anesthesia. This complication can, and is, often overlooked and dismissed as a fatal neurological consequence of (what amounts to) delayed diagnosis. In this case, a 59-year-old female patient with no specific medical history underwent right knee arthroscopy under spinal anesthesia. The arthroscopic surgery concluded without complications but, on the first postoperative day, the patient complained of lower back pain, headache, nausea, vomiting. On the fifth postoperative day, magnetic resonance imaging was taken and it revealed evidence of a subarachnoid hematoma involving the L3 and L4 vertebral levels. Hematoma evacuation was performed, and the patient recovered without sequelae. Here, we report this case that lumbar spinal subarachnoid hematoma was found five days after spinal anesthesia which was done in a patient without coagulopathy.
Key Words : Spinal anesthesia, Spinal subarachnoid hematoma.


April 2018, 13 (2)
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