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Subdural spinal haematoma after spinal anaesthesia in a patient taking aspirin.
J Clin Neurosci. 2011 Dec; 18(12):1713-5.JC

Abstract

Haematoma in the spinal canal may be catastrophic if the condition is not detected and treated early. In the enclosed spinal canal, even a small space-occupying lesion may be rapidly symptomatic. Clinical presentation ranges from benign back pain to severe neurological deficits, the nature of which depends on the level of compression (cauda equina or spinal cord). Despite surgical decompression and extended rehabilitation, many patients suffer permanent disability. Aspirin use prior to neuraxial block is not generally contraindicated in the literature but we would recommend withholding the anticoagulant, if safe, or considering an alternative form of anaesthesia.

Authors+Show Affiliations

The Department of Neurosurgery, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia. khpseow@hotmail.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21945405

Citation

Seow, Kevin, and Katharine J. Drummond. "Subdural Spinal Haematoma After Spinal Anaesthesia in a Patient Taking Aspirin." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 18, no. 12, 2011, pp. 1713-5.
Seow K, Drummond KJ. Subdural spinal haematoma after spinal anaesthesia in a patient taking aspirin. J Clin Neurosci. 2011;18(12):1713-5.
Seow, K., & Drummond, K. J. (2011). Subdural spinal haematoma after spinal anaesthesia in a patient taking aspirin. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 18(12), 1713-5. https://doi.org/10.1016/j.jocn.2011.03.016
Seow K, Drummond KJ. Subdural Spinal Haematoma After Spinal Anaesthesia in a Patient Taking Aspirin. J Clin Neurosci. 2011;18(12):1713-5. PubMed PMID: 21945405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subdural spinal haematoma after spinal anaesthesia in a patient taking aspirin. AU - Seow,Kevin, AU - Drummond,Katharine J, Y1 - 2011/09/25/ PY - 2010/10/11/received PY - 2011/02/16/revised PY - 2011/03/22/accepted PY - 2011/9/28/entrez PY - 2011/9/29/pubmed PY - 2012/7/20/medline SP - 1713 EP - 5 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 18 IS - 12 N2 - Haematoma in the spinal canal may be catastrophic if the condition is not detected and treated early. In the enclosed spinal canal, even a small space-occupying lesion may be rapidly symptomatic. Clinical presentation ranges from benign back pain to severe neurological deficits, the nature of which depends on the level of compression (cauda equina or spinal cord). Despite surgical decompression and extended rehabilitation, many patients suffer permanent disability. Aspirin use prior to neuraxial block is not generally contraindicated in the literature but we would recommend withholding the anticoagulant, if safe, or considering an alternative form of anaesthesia. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/21945405/Subdural_spinal_haematoma_after_spinal_anaesthesia_in_a_patient_taking_aspirin_ DB - PRIME DP - Unbound Medicine ER -