Open AccessSpinal subdural hematoma with cauda equina syndrome: A complication of combined spinal epidural anesthesia
Author(s) -
Neha Singhal,
Priyanka Sethi,
Jitesh Jain,
Saurabh Agarwal
Publication year - 2015
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.155158
Subject(s) - medicine , cauda equina syndrome , laminectomy , surgery , cauda equina , anesthesia , hematoma , magnetic resonance imaging , decompression , foot drop , complication , spinal cord , radiology , psychiatry
Combined spinal-epidural anesthesia (CSE) is considered safe in lower limb surgeries. We report a case of sudden neurological deterioration in a stable postoperative patient who was given CSE for total knee replacement and low molecular weight heparin in postoperative period. On the 4(th) postoperative day, she developed sudden onset weakness in left lower limb along with bladder incontinence. Magnetic resonance imaging spine revealed a subdural hematoma at L2-L3 level. Immediate laminectomy along with cord decompression was done and patient recovered well except for a persistent foot drop on left side.