[Epidural analgesia and cutaneous angioma: need to perform MRI].
Epidural analgesia during labour is a well-accepted technique. Anaesthetists have to measure the risks of this technique during the first consultation with parturient. Complications, such as temporary or permanent neurological injuries due to this anaesthetic technique, are uncommon. We wonder whether the use of magnetic resonance imaging (MRI) may be relevant for the detection of spinal angiomas in case of cutaneous angiomas. The likelihood of finding a spinal angioma with MRI is low and the modus operandi is infrequently modified. We report here a case of parturient with a cutaneous median angioma in the lumbar region, which was detected by MRI. An epidural analgesia was used for pain management during her labour.
Gil
C
C
Département d'anesthésie-réanimation, hôpital d'instruction des armées Laveran, boulevard Alphonse-Laveran, 13013 Marseille, France. celinefgil@hotmail.com
Bellefleur
J-P
JP
Vellin
A
A
Leone
M
M
Martin
C
C
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D016362:Analgesia, Obstetrical / Q000379:methods*; D016058:Analgesia, Patient-Controlled; D000075202:Contraindications; D005260:Female; D006391:Hemangioma / Q000473:pathology*; D046748:Hematoma, Epidural, Spinal / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011677:Punctures / Q000009:adverse effects; D012878:Skin Neoplasms / Q000473:pathology*; D019564:Unnecessary Procedures