[An undiagnosed plasma cell myeloma. Complication after performing spinal anesthesia].
A male patient developed neurological deficits after an uneventful spinal anesthesia. After 2 months without any improvement an epidural hematoma was presumed. Magnet resonance imaging detected inflammatory tissue and destruction at lumbar levels L2/3. The inflammatory tissue had to be removed via laminectomy. Histology of the excised tissue revealed a plasma cell myeloma that was not diagnosed prior to spinal anesthesia 2 months previously.
Tank
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S
Klinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Deutschland. sascha.tank@gmx.de
Rempf
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C
Kothe
R
R
Gottschalk
A
A
D000775:Anesthesia, Spinal / Q000009:adverse effects*; D003937:Diagnosis, Differential; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013130:Spinal Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery