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Spinal haematoma following epidural anaesthesia in a patient with eclampsia
Author(s) -
Yuen T. S. T.,
Kua J. S. W.,
Tan I. K. S.
Publication year - 1999
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.1999.00705.x
Subject(s) - medicine , anesthesia , laminectomy , eclampsia , caesarean section , surgery , pregnancy , neuraxial blockade , subdural haematoma , spinal anesthesia , spinal cord , psychiatry , biology , genetics
A patient with a twin pregnancy required a Caesarean section for severe pre‐eclampsia. Her platelet count was 71 × 10 9 .l −1 . Epidural anaesthesia was performed after platelet transfusion. A spinal epidural haematoma was diagnosed postoperatively. A generalised tonic–clonic seizure sparing the lower limbs enabled early diagnosis to be made. The patient recovered with no permanent neurological damage after laminectomy and clot removal. The risks and benefits of regional techniques require careful consideration, and postoperative monitoring for recovery of neural blockade is essential.