title: Remote spinal epidural haematoma after spinal anaesthesia presenting with a 'spinal lucid interval'.
abstract: An obstetric patient who had no significant risk factors developed a spinal epidural haematoma remote from the site of needle puncture (for administration of spinal anaesthesia). The clinical deficits were manifest after recovery from the motor blockade had started a phenomenon that we have termed as a 'spinal lucid interval'. The patient developed flaccid paraplegia with a sharp sensory level and urinary retention. The patient underwent emergency laminectomy and evacuation of the haematoma. She gradually recovered near normal power and was ambulant independently and had normal sphincter function at follow-up.
authors.affiliation: Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India. venkateshmadhugiri@gmail.com
authors.forename: Venkatesh S
authors.initials: VS
authors.lastname: Madhugiri
authors.forename: Manish
authors.initials: M
authors.lastname: Singh
authors.forename: Gopalakrishnan M
authors.initials: GM
authors.lastname: Sasidharan
authors.forename: V R
authors.initials: VR
authors.lastname: Roopesh Kumar
mesh_terms: D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000150:complications* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D010264:Paraplegia / Q000209:etiology*; D011247:Pregnancy; D016055:Urinary Retention / Q000209:etiology*; D055815:Young Adult