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
Pınar Ayvat
Abdullah Cem Ünde
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
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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.
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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.
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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.
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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
Pınar Ayvat
Abdullah Cem Ünde
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.