Subdural Spinal Haematoma after Epidural Anaesthesia in a Patient with Spinal Canal Stenosis

Author:

Chan M. Y. L.1,Lindsay D. A.1

Affiliation:

1. Department of Anaesthesia, Austin Hospital, Heidelberg, Victoria, Australia

Abstract

A 60-year-old male with a past history of T12 fracture had epidural analgesia for a radical prostatectomy. It was unknown prior to epidural insertion that the patient had a canal stenosis at T12 from the previous injury. The patient developed severe bilateral buttock pain after epidural catheter removal. Magnetic resonance imaging demonstrated a spinal subdural haematoma from T10 to L2 with mild cord compression. The patient made a successful recovery with conservative management. Neuraxial blockade should be approached with caution in patients with previous back injury, and only after a thorough assessment has been obtained to exclude spinal canal stenosis.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

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