Evidence map›Paper›PMID 39445086›Full record

ArticleCase reports in anesthesiology2024

Cervical Spinal Epidural Hematoma After Spinal Anesthesia for Cesarean Section in the Parturient Using Long-Term Low Dose Aspirin.

Kham Van Vu, Hoang Van Nguyen, Quyen Thi Vu, Thang Toan Nguyen

Abstract readCase Reports
In one paragraph

Article in Case reports in anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kham Van VuCenter for Anesthesia and Surgical Intensive Care, Bach Mai Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0005-2283-0851
Hoang Van NguyenCenter for Anesthesia and Surgical Intensive Care, Bach Mai Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0008-1473-9881
Quyen Thi VuCenter for Anesthesia and Surgical Intensive Care, Bach Mai Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0005-5757-4560
Thang Toan NguyenCenter for Anesthesia and Surgical Intensive Care, Bach Mai Hospital, Hanoi, Vietnam.ORCID https://orcid.org/0009-0006-5866-3036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal epidural hematoma (SEDH) is a rare but serious complication associated with spinal anesthesia (SA). We present an unusual case of cervical SEDH occurring 24 h after a lumbar puncture for a cesarean section. The patient, who was on low-dose aspirin due to preeclampsia, initially exhibited neurological symptoms resembling a stroke. Despite a normal magnetic resonance imaging (MRI) of the brain, further investigations revealed a SEDH located between the C3 and T1 segments, well beyond the L3-L4 puncture site. Although coagulation tests were normal, this case underscores the potential risk of low-dose aspirin in affecting platelet function, which may contribute to SEDH development. It also emphasizes the importance of considering spinal MRI when neurological symptoms arise after SA, even if initial cranial MRI results are normal. She underwent emergency C3-T1 laminectomy through a dorsal midline approach. Her motor, sensory, and sphincter functions fully recovered at follow-up.

Indexed as

cervical spinal epidural hematomalow-dose aspirinsurgical intervention

Identifiers

PMID39445086
PMCPMC11498970

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.