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TİP 1 ARNOLD CHİARİ MALFORMASYONLU HASTADA EPİDURAL ANESTEZİ SONRASI GELİŞEN SERVİKAL EPİDURAL HEMATOM VE BAŞ AĞRISI

Year 2013, Volume: 14 Issue: 2, 39 - 43, 01.08.2013

Abstract

Spinal anestezinin en yaygın komplikasyonlarından biri baş ağrısıdır. Sıklığı yıllar içerisinde % 0,2 ile % 24 arasında değişiklik göstermiştir. Akut baş ağrısı yapan diğer nedenlerden dikkatli bir anamnez ve fizik muayene ile ayrılması gerekmektedir. Biz bu olgu sunumunda travma sonrası ortopedi tarafından spinal epidural anestezi ile operasyona alınan, sonrasında başağrısı ve ense sertliği şikayeti olan, postoperatif tetkiklerde servikal epidural hematom tespit edilen Tip 1 Arnold Chiari Malformasyonlu bir hastayı tartıştık

References

  • 1. Özyalçın N.S. Akut Ağrı. Güneş tıp kitabevi, Ankara, 2005:177-91.
  • 2. Miller RD. Anesthesia. 4 th ed. New York Churchill Livingstone, 1994:1505-33.
  • 3. Morgan GE, Mikhail MS, Murray MJ, Larson CP. Regional anesthesia and pain management. In: Morgan GE, editor. Clinical Anesthesiology. 3rd ed. The McGraw-Hill Companies, Los Angeles, 2002: 253-344.
  • 4. Ostheimer GW, Palahniuk RJ, Shnider SM. Epidural blood patch for postlumbar puncture headache. Anesthesiol 1974;41:307-8.
  • 5. Nojiri H, Kim S, Tsuji T, Uta S. Spontaneous spinal epidural hematoma as the initial presentation of leukemia. Eur Spine J 2009;18:220-3.
  • 6. Cullen DJ, Bogdanov E, Htut N. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series. J Clin Anesth 2004;16:376-81.
  • 7. Dinsmore AJ, Leonard RB, Manthey D. Spontaneous spinal epidural hematoma: a case report. J Emerg Med 2005;28:423-6.
  • 8. Uber-Zak LD, Venkatesh YS. Neurologic complications of situps associated with the Valsalva maneuver: 2 case reports. Arch Phys Med Rehabil 2002;83:278-82.
  • 9. Tseng SH, Chen Y, Lin SM, Wang CH. Cervical epidural hematoma after spinal manipulation therapy: case report. J Trauma 2002;52: 585-6.
  • 10. Gimeno AM, Murcia M, Calabuig E, Errando CL, Salvador L, De Andrés JA. Discrepancy between clinical and radiologic manifestations of an epidural hematoma after catheterization. Rev Esp Anestesiol Reanim. 2008;55:245-8.
  • 11. Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008;101:832-40.
  • 12. Cameron CM, Scott DA, McDonald WM, Davies MJ. A review of neuraxial epidural morbidity: experience of more than 8,000 cases at a single teaching hospital. Anesthesiol 2007;106:997-1002.
  • 13. Christie IW, McCabe S. Major complications of epidural analgesia after surgery: results of a six-year survey. Anaesthesia 2007;62:335-41.
  • 14. Shin JJ, Kuh SU, Cho YE. Surgical management of spontaneous spinal epidural hematoma. Eur Spine J 2006;15:998-1004.
  • 15. Groen RJ. Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir (Wien) 2004;146:103-10.
  • 16. Cullen DJ, Bogdanov E, Htut N. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series. J Clin Anesth 2004;16:376-81.
  • 17. Fujiwara H, Oki K, Momoshima S, Kuribayashi S. Propeller diffusion-weighted magnetic resonance imaging of acute spinal epidural hematoma. Acta Radiol 2005; 46: 539-42.
  • 18. Groen RJ, van Alphen HA. Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurg 1996;39:494-509.
  • 19. Mıcheal T.Lavvton, Randall W.Porter, Joseph E.Heısermen. Surgical management of spinal epidural hematoma. J.Neurosurg 1995;83:1-7.
  • 20. Lefranc F, David P, Brotchi J, De Witte O. Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report. Neurosurg 1999;44:408-11.
  • 21. Lonjon M M C, Paquis P, Chanlet S, Grellier P. Nontraumatic spinal epidural hematoma: report of four cases and review of the literature. Neurosurg 1997;41:483-7.
  • 22. Ozek M. Chiari malformasyonu ve sringomyeli. Zileli M, Ozer F, editors. Omurilik ve omurga cerrahisi, Saray medikal yayıncılık, İzmir, 1997;239-48.
  • 23. Pilloy PK, Awad lA, Little JR, Halm JF. Symptomatic Chiari malformation in adults: A new classification based on magnetic resonance imaging with clinical and prognostic signifance. Neurosurg 1991;28:639-45.
  • 24. Vaquera J, Martinez R, Arios A. Syringomyelia-Chiari complex:magnetic resonance and clinical evaluation of surgical treatment. J Neurosurg 1990;73:64-8.
  • 25. Agustí M, Adàlia R, Fernández C, Gomar C. Anaesthesia for caesarean section in a patient with syringomyelia and Arnold-Chiari type I malformation. Int J Obstet Anesth 2004;13:114-6.
  • 26. Parker JD, Broberg JC, Napolitano PG. Maternal Arnold-Chiari type I malformation and syringomyelia: a labor management dilemma. Am J Perinatol 2002;19:445-50.
  • 27. Chantigian RC, Koehn MA, Ramin KD, Warner MA. Chiari I malformation in parturients. J Clin Anesth 2002;14:201-5.
  • 28. Saitoh Y, Ohshima T , Ichikawa K , Makita K , Masuda A , Toyooka H. The anesthetic managementof ArnoldChiari malformation with spinal cord injury. Masui 1993;42:423-6.

Cervical Epidural Hematoma and Headache Developing After Epidural Anesthesia in a Patient with Type 1 Arnold Chiari Malformation

Year 2013, Volume: 14 Issue: 2, 39 - 43, 01.08.2013

Abstract

One of the most common complications of spinal anesthesia is headache. Its frequency changed between thevalues of 0,2 % and 24 % through the years. It should be differentiated from other reasons of acute headache by physical examination and a serious anamnesis.In this essay, we examined a patient who was operated by orthopedics with spinal epidural anesthesia after trauma. The patient had post operative headache and nape hardness, also in postoperative examination cervical epidural hematoma Type 1 Arnold Chiari Malformation was identified in patient.

References

  • 1. Özyalçın N.S. Akut Ağrı. Güneş tıp kitabevi, Ankara, 2005:177-91.
  • 2. Miller RD. Anesthesia. 4 th ed. New York Churchill Livingstone, 1994:1505-33.
  • 3. Morgan GE, Mikhail MS, Murray MJ, Larson CP. Regional anesthesia and pain management. In: Morgan GE, editor. Clinical Anesthesiology. 3rd ed. The McGraw-Hill Companies, Los Angeles, 2002: 253-344.
  • 4. Ostheimer GW, Palahniuk RJ, Shnider SM. Epidural blood patch for postlumbar puncture headache. Anesthesiol 1974;41:307-8.
  • 5. Nojiri H, Kim S, Tsuji T, Uta S. Spontaneous spinal epidural hematoma as the initial presentation of leukemia. Eur Spine J 2009;18:220-3.
  • 6. Cullen DJ, Bogdanov E, Htut N. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series. J Clin Anesth 2004;16:376-81.
  • 7. Dinsmore AJ, Leonard RB, Manthey D. Spontaneous spinal epidural hematoma: a case report. J Emerg Med 2005;28:423-6.
  • 8. Uber-Zak LD, Venkatesh YS. Neurologic complications of situps associated with the Valsalva maneuver: 2 case reports. Arch Phys Med Rehabil 2002;83:278-82.
  • 9. Tseng SH, Chen Y, Lin SM, Wang CH. Cervical epidural hematoma after spinal manipulation therapy: case report. J Trauma 2002;52: 585-6.
  • 10. Gimeno AM, Murcia M, Calabuig E, Errando CL, Salvador L, De Andrés JA. Discrepancy between clinical and radiologic manifestations of an epidural hematoma after catheterization. Rev Esp Anestesiol Reanim. 2008;55:245-8.
  • 11. Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008;101:832-40.
  • 12. Cameron CM, Scott DA, McDonald WM, Davies MJ. A review of neuraxial epidural morbidity: experience of more than 8,000 cases at a single teaching hospital. Anesthesiol 2007;106:997-1002.
  • 13. Christie IW, McCabe S. Major complications of epidural analgesia after surgery: results of a six-year survey. Anaesthesia 2007;62:335-41.
  • 14. Shin JJ, Kuh SU, Cho YE. Surgical management of spontaneous spinal epidural hematoma. Eur Spine J 2006;15:998-1004.
  • 15. Groen RJ. Non-operative treatment of spontaneous spinal epidural hematomas: a review of the literature and a comparison with operative cases. Acta Neurochir (Wien) 2004;146:103-10.
  • 16. Cullen DJ, Bogdanov E, Htut N. Spinal epidural hematoma occurrence in the absence of known risk factors: a case series. J Clin Anesth 2004;16:376-81.
  • 17. Fujiwara H, Oki K, Momoshima S, Kuribayashi S. Propeller diffusion-weighted magnetic resonance imaging of acute spinal epidural hematoma. Acta Radiol 2005; 46: 539-42.
  • 18. Groen RJ, van Alphen HA. Operative treatment of spontaneous spinal epidural hematomas: a study of the factors determining postoperative outcome. Neurosurg 1996;39:494-509.
  • 19. Mıcheal T.Lavvton, Randall W.Porter, Joseph E.Heısermen. Surgical management of spinal epidural hematoma. J.Neurosurg 1995;83:1-7.
  • 20. Lefranc F, David P, Brotchi J, De Witte O. Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report. Neurosurg 1999;44:408-11.
  • 21. Lonjon M M C, Paquis P, Chanlet S, Grellier P. Nontraumatic spinal epidural hematoma: report of four cases and review of the literature. Neurosurg 1997;41:483-7.
  • 22. Ozek M. Chiari malformasyonu ve sringomyeli. Zileli M, Ozer F, editors. Omurilik ve omurga cerrahisi, Saray medikal yayıncılık, İzmir, 1997;239-48.
  • 23. Pilloy PK, Awad lA, Little JR, Halm JF. Symptomatic Chiari malformation in adults: A new classification based on magnetic resonance imaging with clinical and prognostic signifance. Neurosurg 1991;28:639-45.
  • 24. Vaquera J, Martinez R, Arios A. Syringomyelia-Chiari complex:magnetic resonance and clinical evaluation of surgical treatment. J Neurosurg 1990;73:64-8.
  • 25. Agustí M, Adàlia R, Fernández C, Gomar C. Anaesthesia for caesarean section in a patient with syringomyelia and Arnold-Chiari type I malformation. Int J Obstet Anesth 2004;13:114-6.
  • 26. Parker JD, Broberg JC, Napolitano PG. Maternal Arnold-Chiari type I malformation and syringomyelia: a labor management dilemma. Am J Perinatol 2002;19:445-50.
  • 27. Chantigian RC, Koehn MA, Ramin KD, Warner MA. Chiari I malformation in parturients. J Clin Anesth 2002;14:201-5.
  • 28. Saitoh Y, Ohshima T , Ichikawa K , Makita K , Masuda A , Toyooka H. The anesthetic managementof ArnoldChiari malformation with spinal cord injury. Masui 1993;42:423-6.
There are 28 citations in total.

Details

Other ID JA97MB98SK
Journal Section Research Article
Authors

Pınar Ayvat This is me

Abdullah Cem Ünde This is me

Publication Date August 1, 2013
Published in Issue Year 2013 Volume: 14 Issue: 2

Cite

EndNote Ayvat P, Ünde AC (August 1, 2013) Cervical Epidural Hematoma and Headache Developing After Epidural Anesthesia in a Patient with Type 1 Arnold Chiari Malformation. Meandros Medical And Dental Journal 14 2 39–43.