Anesthetic management of a spontaneous spinal-epidural hematoma during pregnancy
- Authors
- Jo, Y. Y.; Lee, D.; Chang, Y. J.; Kwak, H. J.
- Issue Date
- Apr-2012
- Publisher
- ELSEVIER SCI LTD
- Keywords
- Spontaneous spinal-epidural hematoma; Pregnancy; Anesthesia
- Citation
- INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, v.21, no.2, pp.185 - 188
- Journal Title
- INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
- Volume
- 21
- Number
- 2
- Start Page
- 185
- End Page
- 188
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/16502
- DOI
- 10.1016/j.ijoa.2011.12.008
- ISSN
- 0959-289X
- Abstract
- Spontaneous spinal-epidural hematoma is uncommon and rare during pregnancy. We were presented with a 31-year-old patient who developed back pain with lower extremity paralysis at 36 weeks of gestation. A magnetic resonance imaging scan demonstrated an acute spinal-epidural hematoma and therefore, an emergency cesarean delivery was performed followed by hemilaminectomy with hematoma removal. Anesthesia was initiated with a volatile-based technique which, following delivery of the baby, was changed to target-controlled infusions of propofol and remifentanil. Postoperatively, dopamine was infused to maintain the blood pressure within the high-normal range to optimize spinal cord perfusion. Successful anesthetic and postoperative management is described together with a review of the literature. (C) 2011 Elsevier Ltd. All rights reserved.
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