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Hyperacute spinal subdural haematoma as a complication of lumbar spinal anaesthesia: MRI
Authors:S. Pedraza Gutiérrez  S. Coll Masfarré  C. H. Castaño Duque  M. Suescún  A. Rovira Cañellas
Affiliation:(1) Magnetic Resonance Unit, Radiology Service, Institute for Diagnostic Imaging, Vall d'Hebron Hospitals, E-08035 Barcelona, Spain e-mail: spedraza@hg.vhebron.es Tel.: +34-93-42 86 90 34, Fax: +34-93-4 28 60 59, ES;(2) Magnetic Resonance Unit, Radiology Service, Institute for Diagnostic Imaging, Hospital de Bellvitge, L'Hospitalet, Barcelona, Spain, ES
Abstract:We report two cases of hyperacute spinal subdural haematoma secondary to lumbar spinal anaesthesia, identified with MRI. Prompt diagnosis of this infrequent, potentially serious complication of spinal anaesthesia is essential, as early surgical evacuation may be needed. Suggestive MRI findings in this early phase include diffuse occupation filling of the spinal canal with poor delineation of the spinal cord on T1-weighted images, and a poorly-defined high-signal lesion with a low-signal rim on T2-weighted images. Received: 10 November 1998 Accepted: 6 April 1999
Keywords:Anaesthesia  spinal  complications  Haematoma  spinal
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