ArticleAsian journal of neurosurgery2023
Spinal Subdural Hematoma following Epidural Anesthesia.
Article in Asian journal of neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Subdural and epi-arachnoid hemorrhage following spinal epidural block requiring hematoma removal: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Article
- Epidemiologic investigation on neurological complications following neuraxial anesthesia in 2.7 million cases in Southwest China.Scientific reports · 2025Article
- Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma-A Case Report.Medicina (Kaunas, Lithuania) · 2023Article
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Authors and funding
7 authors.
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Abstract
The spinal subdural space is an avascular, potential space and is a rare location for intraspinal hematomas. Compared to spinal epidural hematomas, spinal subdural hematomas are uncommonly described complications of lumbar puncture for spinal or epidural anesthesia, particularly in patients who have no pre-existing bleeding disorders or history of antiplatelet or anticoagulant intake. We describe a 19-year-old girl who had a large thoracolumbar spinal subdural hematoma following epidural anesthesia for elective cholecystectomy with no pre-existing bleeding diathesis that caused rapidly developing paraplegia that evolved over the next 2 days following surgery. Nine days after the initial surgery she underwent multilevel laminectomy and surgical evacuation with eventual satisfactory recovery. Even epidural anesthesia without thecal sac violation can result in bleeding in the spinal subdural space. The possible sources of bleed in this space may be from injury to an interdural vein or extravasation of subarachnoid bleed into the subdural space. When neurological deficits occur, prompt imaging is mandatory and early evacuation yields gratifying results.
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