Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.
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.
Moussallem
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CD
Faculty of Medical Sciences Lebanese University, P O Box 113-6155, Beirut, Lebanon. charbel_moussallem@hotmail.com
El-Yahchouchi
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CA
Charbel
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AC
Nohra
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G
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*
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight