Anaesthetic management of a woman who became paraplegic at 22 weeks' gestation after a spontaneous spinal cord haemorrhage secondary to a presumed arteriovenous malformation.
A 19-yr-old woman developed a paraplegia with a T10 sensory level at 22 weeks' gestation. The spinal injury was caused by spontaneous bleed of a presumed arteriovenous malformation in the spinal cord. She presented for Caesarean section at term because of the breech position of her fetus. The successful use of a combined spinal epidural-regional anaesthetic is described and the risks of general and regional anaesthesia are discussed.
Eldridge
A J
AJ
Anaesthetic Department, Queen Alexandra Hospital, Portsmouth.
Kipling
M
M
Smith
J W
JW
D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods; D001165:Arteriovenous Malformations / Q000150:complications; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D013345:Subarachnoid Hemorrhage / Q000150:complications*