title: Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.
abstract: We present a case of delayed presentation of a subdural haematoma causing cauda equina syndrome which occurred 96 hours after a spinal anaesthetic had been administered for an elective total hip replacement in an 86-year-old man. The patient had received low-molecular-weight heparin anticoagulation which had been delayed until 12 hours postoperatively. No other cause of the haemorrhage could be identified.
authors.affiliation: Faculty of Medical Sciences Lebanese University, P O Box 113-6155, Beirut, Lebanon. charbel_moussallem@hotmail.com
authors.forename: C D
authors.initials: CD
authors.lastname: Moussallem
authors.forename: C A
authors.initials: CA
authors.lastname: El-Yahchouchi
authors.forename: A C
authors.initials: AC
authors.lastname: Charbel
authors.forename: G
authors.initials: G
authors.lastname: Nohra
mesh_terms: D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects; D019644:Arthroplasty, Replacement, Hip; D046649:Hematoma, Subdural, Spinal / Q000175:diagnosis / Q000209:etiology*; D006495:Heparin, Low-Molecular-Weight / Q000009:adverse effects; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011128:Polyradiculopathy / Q000209:etiology; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology*
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight