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Cerebral subarachnoid blood migration consecutive to a lumbar haematoma after spinal anaesthesia

Authors


Address:
Dr Gregory Hans
Department of Anesthesia and Intensive Care Medicine
CHU de Liège
Domaine du Sart Tilman
B-4000 Liège
Liège
Belgium
e-mail: G.hans@skynet.be

Abstract

We report the case of a woman who received spinal anaesthesia for peripheral vascular surgery of the lower limbs and subsequently developed a spinal subarachnoid haematoma. Interestingly, low back pain was the only symptom of this spinal subarachnoid haemorrhage. During the following days, blood migrated from the spinal haematoma towards the cerebral subarachnoid spaces. The patient presented with stupor, nausea and vomiting that resolved within 2 weeks with conservative treatment.

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