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[Spinal cord compression caused by hematoma related to neuroaxial anesthesia in Spain].
Rev Esp Anestesiol Reanim. 2003 Dec; 50(10):504-9.RE

Abstract

OBJECTIVES

Spinal cord compression from a hematoma is a rare serious complication of neuroaxial anesthesia. Our objective was to investigate cases reported and published by Spanish authors.

MATERIAL AND METHODS

Cases of spinal cord compression related to neuroaxial hematomas (epidural, subarachnoid, or both) reported at congreses and meetings in Spain or published in Medline-indexed journals from 1989 through December 2002 were reviewed. The clinical characteristics, risk factors, treatments, and outcomes were described for each case.

RESULTS

Since 1996, when the first cases were reported, 20 cases in all have appeared: 8 related to sub-arachnoid anesthesia, 8 to epidural anesthesia, 1 to a combination, and 1 to diagnostic lumbar puncture. In 2 cases, the neuroaxial technique used was poorly defined. Factors that might have caused the complication could be identified in 11 cases, among which there were 7 cases of anesthetic puncture or manipulation of an epidural catheter during a period of hemorrhagic risk because of antithrombotic therapy. The hematoma was evacuated surgically in 11 cases, and medical treatment was provided in 9 cases. The neurologic outcome was satisfactory in 14 cases.

CONCLUSIONS

The number of compressive spinal hematomas reported or published by Spanish authors is fairly high, and there are cases related to both sub-arachnoid and epidural anesthesia. Nonsurgical treatment was provided in 45% of the cases and the outcome was satisfactory in 70%. Risk factors were identified in over half of the reported cases.

Authors+Show Affiliations

Castillo J
Servicio de Anestesiología y Reanimación, Hospital Mar-Esperança, (Institut Municipal d'Assistència Sanitaria), Barcelona.
Santiveri X
No affiliation info available
Escolano F
No affiliation info available
Castaño J
No affiliation info available

MeSH

AdultAgedAged, 80 and overAnesthesia, SpinalAxis, Cervical VertebraFemaleHematomaHumansMaleMiddle AgedSpainSpinal Cord Compression

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

14737776

Citation

Castillo, J, et al. "[Spinal Cord Compression Caused By Hematoma Related to Neuroaxial Anesthesia in Spain]." Revista Espanola De Anestesiologia Y Reanimacion, vol. 50, no. 10, 2003, pp. 504-9.
Castillo J, Santiveri X, Escolano F, et al. [Spinal cord compression caused by hematoma related to neuroaxial anesthesia in Spain]. Rev Esp Anestesiol Reanim. 2003;50(10):504-9.
Castillo, J., Santiveri, X., Escolano, F., & Castaño, J. (2003). [Spinal cord compression caused by hematoma related to neuroaxial anesthesia in Spain]. Revista Espanola De Anestesiologia Y Reanimacion, 50(10), 504-9.
Castillo J, et al. [Spinal Cord Compression Caused By Hematoma Related to Neuroaxial Anesthesia in Spain]. Rev Esp Anestesiol Reanim. 2003;50(10):504-9. PubMed PMID: 14737776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Spinal cord compression caused by hematoma related to neuroaxial anesthesia in Spain]. AU - Castillo,J, AU - Santiveri,X, AU - Escolano,F, AU - Castaño,J, PY - 2004/1/24/pubmed PY - 2004/3/25/medline PY - 2004/1/24/entrez SP - 504 EP - 9 JF - Revista espanola de anestesiologia y reanimacion JO - Rev Esp Anestesiol Reanim VL - 50 IS - 10 N2 - OBJECTIVES: Spinal cord compression from a hematoma is a rare serious complication of neuroaxial anesthesia. Our objective was to investigate cases reported and published by Spanish authors. MATERIAL AND METHODS: Cases of spinal cord compression related to neuroaxial hematomas (epidural, subarachnoid, or both) reported at congreses and meetings in Spain or published in Medline-indexed journals from 1989 through December 2002 were reviewed. The clinical characteristics, risk factors, treatments, and outcomes were described for each case. RESULTS: Since 1996, when the first cases were reported, 20 cases in all have appeared: 8 related to sub-arachnoid anesthesia, 8 to epidural anesthesia, 1 to a combination, and 1 to diagnostic lumbar puncture. In 2 cases, the neuroaxial technique used was poorly defined. Factors that might have caused the complication could be identified in 11 cases, among which there were 7 cases of anesthetic puncture or manipulation of an epidural catheter during a period of hemorrhagic risk because of antithrombotic therapy. The hematoma was evacuated surgically in 11 cases, and medical treatment was provided in 9 cases. The neurologic outcome was satisfactory in 14 cases. CONCLUSIONS: The number of compressive spinal hematomas reported or published by Spanish authors is fairly high, and there are cases related to both sub-arachnoid and epidural anesthesia. Nonsurgical treatment was provided in 45% of the cases and the outcome was satisfactory in 70%. Risk factors were identified in over half of the reported cases. SN - 0034-9356 UR - https://www.unboundmedicine.com/medline/citation/14737776/[Spinal_cord_compression_caused_by_hematoma_related_to_neuroaxial_anesthesia_in_Spain]_ DB - PRIME DP - Unbound Medicine ER -