Background and Aims Subarachnoid hematoma is a rare but potentially serious complication of a subarachnoid block. Its occurrence is associated with several risk factors such as multiple spinal attempts, traumatic puncture and concurrent therapy with anticoagulants and/or antiplatelet agents.1
Methods Description of a case report in the section below.
Results Case Report: A healthy pregnant woman was admitted for an elective c-section under subarachnoid spinal block. After two hematic punctures at different lumbar levels, it was decided to proceed with a general anaesthesia instead. Surgery was performed with no reports of complications. About 7 days later, the patient reported neurologic symptoms and a spinal hematoma was diagnosed (figure 1 and 2). After consultation with a neurosurgical team, a conservative approach was decided upon. The patient was admitted to the hospital for close monitoring of neurological signs and throughout the 12 days of in-hospital stay, there was a spontaneous remission of symptoms as well as a significant reduction in the size of the hematoma, confirmed by magnetic resonance imaging. The patient was discharged home assymptomatic.
Conclusions Although the recommended treatment for a subarachnoid hematoma is an emergent surgical decompression, there have been reports of small subarachnoid hematomas associated with mild pain complaints that are conservatively managed with satisfactory results.2
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.