Fatal subdural haemorrhage following lumbar spinal drainage during repair of thoraco-abdominal aneurysm.
A 63-year-old male patient collapsed and died from a major subdural haemorrhage 5 days after elective repair of a Type III thoraco-abdominal aortic aneurysm. The anaesthetic technique had included the use of a lumbar cerebrospinal fluid drain. The management of the patient is described, and the association between subdural haemorrhage and cerebrospinal fluid drainage is discussed.
McHardy
F E
FE
Victoria Infirmary, Langside Road, Glasgow G42 9TY, UK.
Bayly
P J
PJ
Wyatt
M G
MG
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D015170:Cerebrospinal Fluid Pressure; D002557:Cerebrospinal Fluid Shunts; D004322:Drainage / Q000009:adverse effects*; D017809:Fatal Outcome; D020199:Hematoma, Subdural, Acute / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply