scholarly journals Spinal Subdural Hematoma Following Intracranial Aneurysm Surgery

2007 ◽  
Vol 47 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Myoung Soo KIM ◽  
Chae Heuck LEE ◽  
Seung Jun LEE ◽  
Jong Joo RHEE
Keyword(s):  
Intracranial Aneurysm ◽  
Subdural Hematoma ◽  
Aneurysm Surgery ◽  
Spinal Subdural Hematoma

Spinal subdural hematoma: a sequela of a ruptured intracranial aneurysm?

2003 ◽  
Vol 59 (5) ◽  
pp. 408-412 ◽  
Author(s):  
Satoshi Yamaguchi ◽  
Kazutoshi Hida ◽  
Minoru Akino ◽  
Shunsuke Yano ◽  
Yoshinobu Iwasaki
Keyword(s):  
Intracranial Aneurysm ◽  
Subdural Hematoma ◽  
Ruptured Intracranial Aneurysm ◽  
Spinal Subdural Hematoma

scholarly journals Rivaroxaban-Induced Nontraumatic Spinal Subdural Hematoma: An Uncommon Yet Life-Threatening Complication

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mazen Zaarour ◽  
Samer Hassan ◽  
Nishitha Thumallapally ◽  
Qun Dai
Keyword(s):  
Subdural Hematoma ◽  
Lower Risk ◽  
Oral Anticoagulants ◽  
Factor Xa ◽  
Bleeding Events ◽  
Spinal Hematoma ◽  
The Third ◽  
Spinal Subdural Hematoma ◽  
Life Threatening ◽  
Life Threatening Complication

In the last decade, the desire for safer oral anticoagulants (OACs) led to the emergence of newer drugs. Available clinical trials demonstrated a lower risk of OACs-associated life-threatening bleeding events, including intracranial hemorrhage, compared to warfarin. Nontraumatic spinal hematoma is an uncommon yet life-threatening neurosurgical emergency that can be associated with the use of these agents. Rivaroxaban, one of the newly approved OACs, is a direct factor Xa inhibitor. To the best of our knowledge, to date, only two published cases report the incidence of rivaroxaban-induced nontraumatic spinal subdural hematoma (SSDH). Our case is the third one described and the first one to involve the cervicothoracic spine.

scholarly journals Spinal subdural hematoma and subdural anesthesia following combined spinal–epidural anesthesia: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yanmei Bi ◽  
Junying Zhou
Keyword(s):  
Epidural Anesthesia ◽  
Subdural Hematoma ◽  
Cauda Equina ◽  
Vital Signs ◽  
Epidural Administration ◽  
Single Shot ◽  
Combined Spinal Epidural ◽  
Spinal Subdural Hematoma ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

Abstract Background Subdural anesthesia and spinal subdural hematoma are rare complications of combined spinal-epidural anesthesia. We present a patient who developed both after multiple attempts to achieve combined spinal–epidural anesthesia. Case presentation A 21-year-old parturient, gravida 1, para 1, with twin pregnancy at gestational age 34+ 5 weeks underwent cesarean delivery. Routine combined spinal–epidural anesthesia was planned; however, no cerebrospinal fluid outflow was achieved after several attempts. Bupivacaine (2.5 mL) administered via a spinal needle only achieved asymmetric blockade of the lower extremities, reaching T12. Then, epidural administration of low-dose 2-chlorprocaine caused unexpected blockade above T2 as well as tinnitus, dyspnea, and inability to speak. The patient was intubated, and the twins were delivered. Ten minutes after the operation, the patient was awake with normal tidal volume. The endotracheal tube was removed, and she was transferred to the intensive care unit for further observation. Postoperative magnetic resonance imaging suggested a spinal subdural hematoma extending from T12 to the cauda equina. Sensory and motor function completely recovered 5 h after surgery. She denied headache, low back pain, or other neurologic deficit. The patient was discharged 6 days after surgery. One month later, repeat MRI was normal. Conclusions All anesthesiologists should be aware of the possibility of SSDH and subdural block when performing neuraxial anesthesia, especially in patients in whom puncture is difficult. Less traumatic methods of achieving anesthesia, such as epidural anesthesia, single-shot spinal anesthesia, or general anesthesia should be considered in these patients. Furthermore, vital signs and neurologic function should be closely monitored during and after surgery.

Intracranial aneurysm surgery

2013 ◽  
pp. 670-674
Author(s):  
Mark J. Dannenbaum ◽  
Sung Bae Lee ◽  
C. Michael Cawley ◽  
Daniel L. Barrow
Keyword(s):  
Intracranial Aneurysm ◽  
Aneurysm Surgery

scholarly journals Spinal Subdural Hematoma Associated With Traumatic Intracranial Interhemispheric Subdural Hematoma

2012 ◽  
Vol 52 (9) ◽  
pp. 636-639 ◽  
Author(s):  
Daisuke WAJIMA ◽  
Hiroshi YOKOTA ◽  
Yuki IDA ◽  
Hiroyuki NAKASE
Keyword(s):  
Subdural Hematoma ◽  
Spinal Subdural Hematoma

Temporary clipping during intracranial aneurysm surgery: Continuous (CTC) versus intermittent (ITC), the effect on outcome.

1998 ◽  
Vol 10 (4) ◽  
pp. 275
Author(s):  
F. Girard ◽  
A. A. Todorov ◽  
M. A. Cheng ◽  
C. M. Crowder ◽  
R. G. Dacey ◽  
...  
Keyword(s):  
Intracranial Aneurysm ◽  
Aneurysm Surgery ◽  
Temporary Clipping
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