Yıl: 2018 Cilt: 46 Sayı: 4 Sayfa Aralığı: 319 - 322 Metin Dili: Türkçe DOI: 10.5152/TJAR.2018.28044 İndeks Tarihi: 24-09-2019

Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji

Öz:
Spinal ve epidural girişimlerin ardından nöroaksial bölgede gelişenhemoraji nadir ve beklenmedik bir komplikasyondur. Subduralhemoraji ise en sık izlenen tipidir. 64 yaşında erkek hasta,14 gün önce olan spinal anestezi ile inguinal herni operasyonusonrası şiddetli başağrısı ve aralıklı olan ateş yüksekliği şikayetleriylebaşvurdu. Nörolojik muayenesi ve sistem sorgusunda posturaltremor dışında özellik yoktu. Hastaya sekonder başağrılarıayırıcı tanısı için kranial ve spinal magnetik rezonans(MR) görüntülemeistendi. MR’da arka çukuru sınırlayan duraya bitişiksubakut subdural kanama ve tüm spinal kanal boyunca ekstraaksiyal mesafede (epidural-subdural ayırıımı net olarak yapılamayan)kanama saptandı. Nörolojik defisiti olmayan ve kültürlerindeüreme saptanmayan hasta konservatif tedavi ile izlendi. Bizburada daha önce literatürde gözlenmeyen, spinal anestezi sonrasıhem intrakranial subdural hem de spinal subdural -epiduralhemorajinin aynı vakada birlikteliğinin bir komplikasyon olarakgörülebileceğini ve rejyonal anestezi sonrası başağrısının öneminivurgulamak istedik.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Anestezi Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme

Spinal Epidural and Intracranial Subdural Haemorrhage that is a Complication of Spinal Anaesthesia

Öz:
Haemorrhage in the neuraxial region following spinal and epidural interventions is a rare and unexpected complication. Subdural haemorrhage is the most frequently occurring type. A 64-year-old male patient was admitted with complaints of severe headache and intermittent fever after 14 days of spinal anaesthesia and inguinal hernia operation. Neurological examination and systemic examination showed no features other than that for postural tremor. Cranial and spinal magnetic resonance (MR) imaging were requested for the differential diagnosis of the patient with secondary headaches. In MR, subacute subdural haemorrhage adjacent to the dura, limiting the posterior sulcus, and extra axial distance (not clearly distinguishable epidural-subdural distinction) along the entire spinal canal were detected. The patient who had no neurological deficit and no culture recruitment underwent conservative treatment. We would like to emphasize here that the coexistence of both intracranial subdural and spinal subdural-epidural haemorrhage can be seen as a complication after spinal anaesthesia, which has not been previously observed in the literature, along with the importance of headache after regional anaesthesia.
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Anestezi Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA TUNCER Z, ÖZTÜRK V, İYİLİKÇİ KARAOĞLAN L, Erkin Y (2018). Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. , 319 - 322. 10.5152/TJAR.2018.28044
Chicago TUNCER ZEYNEP,ÖZTÜRK Vesile,İYİLİKÇİ KARAOĞLAN LEYLA,Erkin Yüksel Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. (2018): 319 - 322. 10.5152/TJAR.2018.28044
MLA TUNCER ZEYNEP,ÖZTÜRK Vesile,İYİLİKÇİ KARAOĞLAN LEYLA,Erkin Yüksel Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. , 2018, ss.319 - 322. 10.5152/TJAR.2018.28044
AMA TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. . 2018; 319 - 322. 10.5152/TJAR.2018.28044
Vancouver TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. . 2018; 319 - 322. 10.5152/TJAR.2018.28044
IEEE TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y "Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji." , ss.319 - 322, 2018. 10.5152/TJAR.2018.28044
ISNAD TUNCER, ZEYNEP vd. "Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji". (2018), 319-322. https://doi.org/10.5152/TJAR.2018.28044
APA TUNCER Z, ÖZTÜRK V, İYİLİKÇİ KARAOĞLAN L, Erkin Y (2018). Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. Turkish Journal of Anaesthesiology and Reanimation, 46(4), 319 - 322. 10.5152/TJAR.2018.28044
Chicago TUNCER ZEYNEP,ÖZTÜRK Vesile,İYİLİKÇİ KARAOĞLAN LEYLA,Erkin Yüksel Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. Turkish Journal of Anaesthesiology and Reanimation 46, no.4 (2018): 319 - 322. 10.5152/TJAR.2018.28044
MLA TUNCER ZEYNEP,ÖZTÜRK Vesile,İYİLİKÇİ KARAOĞLAN LEYLA,Erkin Yüksel Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. Turkish Journal of Anaesthesiology and Reanimation, vol.46, no.4, 2018, ss.319 - 322. 10.5152/TJAR.2018.28044
AMA TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. Turkish Journal of Anaesthesiology and Reanimation. 2018; 46(4): 319 - 322. 10.5152/TJAR.2018.28044
Vancouver TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji. Turkish Journal of Anaesthesiology and Reanimation. 2018; 46(4): 319 - 322. 10.5152/TJAR.2018.28044
IEEE TUNCER Z,ÖZTÜRK V,İYİLİKÇİ KARAOĞLAN L,Erkin Y "Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji." Turkish Journal of Anaesthesiology and Reanimation, 46, ss.319 - 322, 2018. 10.5152/TJAR.2018.28044
ISNAD TUNCER, ZEYNEP vd. "Spinal Anestezi Komplikasyonu Olan Spinal Epidural ve İntrakraniyal Subdural Hemoraji". Turkish Journal of Anaesthesiology and Reanimation 46/4 (2018), 319-322. https://doi.org/10.5152/TJAR.2018.28044