@article{ART002389479},
author={신원식 and 이정수 and 안동기 and 유인선 and Ho Young Lee},
title={Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2018},
volume={25},
number={3},
pages={140-144}
TY - JOUR
AU - 신원식
AU - 이정수
AU - 안동기
AU - 유인선
AU - Ho Young Lee
TI - Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -
JO - Journal of Korean Society of Spine Surgery
PY - 2018
VL - 25
IS - 3
PB - Korean Society Of Spine Surgery
SP - 140
EP - 144
SN - 2093-4378
AB - Study Design: Case report.
Objectives: We report a case of spinal subarachnoid hematoma that developed after spinal anesthesia in a female patient who had no risk factors.
Summary of Literature Review: Few case reports of spinal subarachnoid hematoma (SSH) after spinal anesthesia have been published. The incidence of SSH is much less than that of epidural hematoma.
Materials and Methods: A 56-year-old female patient underwent arthroscopic surgery on her right knee under spinal anesthesia.
Automated patient-controlled analgesia (PCA) was applied after surgery. On day 2, the patient complained of lower back pain, headache, nausea, and vomiting, but there were no neurological signs in the lower extremity. At day 5, she had a moderate fever (38.4°) and continuous nausea and vomiting. Magnetic resonance imaging (MRI) was conducted on day 5 and a large subarachnoid hematoma was found. We immediately performed surgical hematoma evacuation. Her low back and buttock pain improved immediately, and all symptoms disappeared in a week without any neurological sequelae.
Results: The unusual and vague symptoms in this case made the diagnosis difficult, but spinal MRI confirmed SSH. Immediate surgical hematoma evacuation improved all symptoms and left no neurologic sequelae.
Conclusions: SSH after spinal anesthesia may have cerebral symptoms that mimic the side effects of PCA. Early diagnosis by MRI and surgical evacuation of the SSH are a reasonable approach for this complication.
KW - Spinal subarachnoid hematoma;Spinal anesthesia
DO -
UR -
ER -
신원식, 이정수, 안동기, 유인선 and Ho Young Lee. (2018). Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -. Journal of Korean Society of Spine Surgery, 25(3), 140-144.
신원식, 이정수, 안동기, 유인선 and Ho Young Lee. 2018, "Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -", Journal of Korean Society of Spine Surgery, vol.25, no.3 pp.140-144.
신원식, 이정수, 안동기, 유인선, Ho Young Lee "Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -" Journal of Korean Society of Spine Surgery 25.3 pp.140-144 (2018) : 140.
신원식, 이정수, 안동기, 유인선, Ho Young Lee. Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -. 2018; 25(3), 140-144.
신원식, 이정수, 안동기, 유인선 and Ho Young Lee. "Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -" Journal of Korean Society of Spine Surgery 25, no.3 (2018) : 140-144.
신원식; 이정수; 안동기; 유인선; Ho Young Lee. Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -. Journal of Korean Society of Spine Surgery, 25(3), 140-144.
신원식; 이정수; 안동기; 유인선; Ho Young Lee. Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -. Journal of Korean Society of Spine Surgery. 2018; 25(3) 140-144.
신원식, 이정수, 안동기, 유인선, Ho Young Lee. Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -. 2018; 25(3), 140-144.
신원식, 이정수, 안동기, 유인선 and Ho Young Lee. "Spinal Subarachnoid Hematoma after Spinal Anesthesia - A Case Report -" Journal of Korean Society of Spine Surgery 25, no.3 (2018) : 140-144.
