Lumbar ependymoma presenting with paraplegia following attempted spinal anaesthesia.
Neurological deterioration from intraspinal haematoma following insertion of a spinal needle is extremely rare. We present the case of a 28-yr-old female, who presented with complete paraplegia following attempted spinal anaesthesia for delivery of her third child. Space-occupying iatrogenic spinal haemorrhage from a previously undiagnosed lumbar ependymoma was found to be the precipitating cause. Following laminotomy with blood clot and tumour removal her neurological function improved.
Jaeger
M
M
Department of Neurosurgery, University of Leipzig, Germany.
Rickels
E
E
Schmidt
A
A
Samii
M
M
Blömer
U
U
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D004806:Ependymoma / Q000150:complications*; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000209:etiology*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D013125:Spinal Neoplasms / Q000150:complications*