title: Dural ectasia.
abstract: Dural ectasia is one of the likely causes of incomplete or failed spinal anaesthesia. Its association with diseases like Marfans syndrome, neurofibromatosis, osteogenesis imperfecta, vertebral fracture, postopertative adhesions, trauma etc., is often overlooked as a reason for inadequate spinal anaesthesia. Greater than normal volume of cerebrospinal fluid in the lumber theca in dural ectasia is postulated to restrict the spread of intrathecally injected Local anaesthetic. Here, we report a case of failed spinal anaesthesia but successful epidural anaesthesia in later setting in a patient with dural ectasia.
authors: Department of Anaesthesia, M. L. B. Medical College, Jhansi, Uttar Pradesh, India.
authors: Neha
authors: N
authors: Gupta
authors: Department of Anaesthesia, M. L. B. Medical College, Jhansi, Uttar Pradesh, India.
authors: Veena
authors: V
authors: Gupta
authors: Department of Anaesthesia, M. L. B. Medical College, Jhansi, Uttar Pradesh, India.
authors: Abhishake
authors: A
authors: Kumar
authors: Department of Orthopaedics, Jhansi Orthopaedic Hospital, Jhansi, Uttar Pradesh, India.
authors: Gaurav
authors: G
authors: Kumar
keywords: Causes of spinal anaesthesia failure; dural ectasia; failed spinal anaesthesia