title: Cerebral subarachnoid blood migration consecutive to a lumbar haematoma after spinal anaesthesia.
abstract: We report the case of a woman who received spinal anaesthesia for peripheral vascular surgery of the lower limbs and subsequently developed a spinal subarachnoid haematoma. Interestingly, low back pain was the only symptom of this spinal subarachnoid haemorrhage. During the following days, blood migrated from the spinal haematoma towards the cerebral subarachnoid spaces. The patient presented with stupor, nausea and vomiting that resolved within 2 weeks with conservative treatment.
authors.affiliation: Department of Anesthesia and Intensive Care Medicine, CHU de Liège, University of Liège, Belgium. G.hans@skynet.be
authors.forename: G A
authors.initials: GA
authors.lastname: Hans
authors.forename: M
authors.initials: M
authors.lastname: Senard
authors.forename: D
authors.initials: D
authors.lastname: Ledoux
authors.forename: B
authors.initials: B
authors.lastname: Grayet
authors.forename: F
authors.initials: F
authors.lastname: Scholtes
authors.forename: E
authors.initials: E
authors.lastname: Creemers
authors.forename: M L
authors.initials: ML
authors.lastname: Lamy
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy; D001241:Aspirin / Q000008:administration & dosage; D001921:Brain / Q000000981:diagnostic imaging; D002045:Bupivacaine / Q000008:administration & dosage; D002560:Cerebrovascular Circulation; D017984:Enoxaparin / Q000008:administration & dosage; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008159:Lumbar Vertebrae / Q000473:pathology; D008279:Magnetic Resonance Imaging; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D053608:Stupor / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D013346:Subarachnoid Space / Q000473:pathology; D017409:Sufentanil / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
chemical_list: D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D017984:Enoxaparin; D005343:Fibrinolytic Agents; D017409:Sufentanil; D001241:Aspirin; D002045:Bupivacaine