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Subdural Hematoma Following Spinal Anesthesia

Subdural Hematoma Following Spinal Anesthesia Abstract Of the recognized neurological sequelae of spinal anesthesia, those due to lumbar puncture are generally benign but relatively common, while those due to the constituents of the injection are, as a rule, serious but infrequent. To the list of hazards must be added a complication which, though due to lumbar puncture, is grave but very rare. The following case reports illustrate the occurrence of subdural hematoma as a consequence of spinal anesthesia. Report of Cases Case 1. —The patient was a 69-year-old retired chiropractor who had suffered from chronic sinusitis and bronchiectasis for many years. After an episode of urinary retention, he underwent, on May 23, 1954, a retropubic prostatectomy and vasectomy under spinal anesthesia. The lumbar puncture was made between L-2 and L-3 with a No. 22 needle. Tetracaine hydrochloride, 14 mg., and epinephrine, 0.4 mg., were administered. During the operation he coughed and expectorated several times. Although his References 1. Anderson, F. M.: Subdural Hematoma, a Complication of Operation for Hydrocephalus , Pediatrics 10:11-17 ( (July) ) 1952. 2. Bodechtel, G.: Befunde am Zentralnervensystem bei Spätnarkosetodesfällen und bei Todesfällen nach Lumbalanästhesie , Ztschr. ges. Neurol. u. Psychiat. 117:366-423, 1928.Crossref 3. Bucy, P. C.: Subdural Hematoma , Illinois M. J. 82:300-310 ( (Oct.) ) 1942. 4. Cooney, J. F., and Baker, G. S.: Subdural Hematoma Following an Operation on the Spinal Cord: Report of a Case , Proc. Staff Meet. Mayo Clin. 28:364-367 ( (July 1) ) 1953. 5. Davidoff, L. M., and Feiring, E. H.: Subdural Hematoma Occurring in Surgically Treated Hydrocephalic Children with a Note on a Method of Handling Persistent Accumulations , J. Neurosurg. 10:557-563 ( (Nov.) ) 1953.Crossref 6. Gerlach, J.: Subduralhämatom und erniedrigter Schädelinnendruck , Deutsche Ztschr. Nervenh. 160:387-399, 1949. 7. Robinson, R. G.: Subdural Haematoma in an Adult After Air Encephalography , J. Neurol. Neurosurg. & Psychiat. 20:131-132 ( (May) ) 1957. 8. Smith, H. V., and Crothers, B.: Subdural Fluid as a Consequence of Pneumoencephalography , Pediatrics 5:375-389 ( (March) ) 1950. 9. Thorsen, G.: Neurological Complications After Spinal Anaesthesia and Results from 2,493 Follow-Up Cases , Acta chir. scandinav. ( (Supp. 121) ) 95:1-272, 1947. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Subdural Hematoma Following Spinal Anesthesia

A.M.A. Archives Surgery , Volume 79 (1) – Jul 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320070053009
Publisher site
See Article on Publisher Site

Abstract

Abstract Of the recognized neurological sequelae of spinal anesthesia, those due to lumbar puncture are generally benign but relatively common, while those due to the constituents of the injection are, as a rule, serious but infrequent. To the list of hazards must be added a complication which, though due to lumbar puncture, is grave but very rare. The following case reports illustrate the occurrence of subdural hematoma as a consequence of spinal anesthesia. Report of Cases Case 1. —The patient was a 69-year-old retired chiropractor who had suffered from chronic sinusitis and bronchiectasis for many years. After an episode of urinary retention, he underwent, on May 23, 1954, a retropubic prostatectomy and vasectomy under spinal anesthesia. The lumbar puncture was made between L-2 and L-3 with a No. 22 needle. Tetracaine hydrochloride, 14 mg., and epinephrine, 0.4 mg., were administered. During the operation he coughed and expectorated several times. Although his References 1. Anderson, F. M.: Subdural Hematoma, a Complication of Operation for Hydrocephalus , Pediatrics 10:11-17 ( (July) ) 1952. 2. Bodechtel, G.: Befunde am Zentralnervensystem bei Spätnarkosetodesfällen und bei Todesfällen nach Lumbalanästhesie , Ztschr. ges. Neurol. u. Psychiat. 117:366-423, 1928.Crossref 3. Bucy, P. C.: Subdural Hematoma , Illinois M. J. 82:300-310 ( (Oct.) ) 1942. 4. Cooney, J. F., and Baker, G. S.: Subdural Hematoma Following an Operation on the Spinal Cord: Report of a Case , Proc. Staff Meet. Mayo Clin. 28:364-367 ( (July 1) ) 1953. 5. Davidoff, L. M., and Feiring, E. H.: Subdural Hematoma Occurring in Surgically Treated Hydrocephalic Children with a Note on a Method of Handling Persistent Accumulations , J. Neurosurg. 10:557-563 ( (Nov.) ) 1953.Crossref 6. Gerlach, J.: Subduralhämatom und erniedrigter Schädelinnendruck , Deutsche Ztschr. Nervenh. 160:387-399, 1949. 7. Robinson, R. G.: Subdural Haematoma in an Adult After Air Encephalography , J. Neurol. Neurosurg. & Psychiat. 20:131-132 ( (May) ) 1957. 8. Smith, H. V., and Crothers, B.: Subdural Fluid as a Consequence of Pneumoencephalography , Pediatrics 5:375-389 ( (March) ) 1950. 9. Thorsen, G.: Neurological Complications After Spinal Anaesthesia and Results from 2,493 Follow-Up Cases , Acta chir. scandinav. ( (Supp. 121) ) 95:1-272, 1947.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jul 1, 1959

References