Abstract

Spinal anaesthesia is considered to be best and safest way of providing anaesthesia for infra-umbilical surgeries. It is a blessing for patients with high risk for general anaesthesia, but at times it may be associated with fatal complications. Spinal haematoma is one of the rare complications of subarachnoid block. Peripartum cardiomyopathy is also an added concern in obstetric patients. DOI: http://dx.doi.org/10.4038/slja.v21i1.4771

Highlights

  • Intraspinal haemorrhage is one of the rare complications following subarachnoid block (SAB)

  • Her preoperative blood investigations were within normal limits. She was given a general anaesthetic and a large epidural hematoma extending from L1 to L4 along with granulation tissue was found which was sent for histopathology

  • Intraspinal hematoma is a known complication after subarachnoid block (SAB)

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Summary

Introduction

Introduction Intraspinal haemorrhage is one of the rare complications following subarachnoid block (SAB). The case presented here is a postoperative complication of SAB in an obstetric patient in the form of spinal haematoma along with co-incidental peripartum cardiomyopathy. The haematoma was drained surgically; patient recovered from cardiomyopathy gradually over a period of time. Case Report A 25 years old female patient was admitted to the medicine department with complaints of motor weakness along with sensory loss in both lower limbs, following caesarian section done under a SAB 24hrs back.

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