Spinal Ependymoma Identified Following Spinal Anesthesia for Cesarean Delivery
| Autor: | Sophie Dean, Linden Lee, Amber N Quintana, Richesh Guragain, Adam Moore |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Ependymoma
medicine.medical_specialty ependymoma medicine.medical_treatment Neurosurgery Cauda equina syndrome 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Epidural hematoma Lumbar spinal cord tumor Anesthesiology medicine Elective Cesarean Delivery spinal anesthesia business.industry General Engineering Laminectomy medicine.disease Surgery Spinal cord tumor Obstetrics/Gynecology epidural hematoma neuraxial anesthesia business Paraplegia 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Neuraxial anesthesia is preferred over general anesthesia for cesarean delivery when appropriate because the latter is associated with a higher incidence of airway complications and an increased need for neonatal resuscitation. Common complications of neuraxial anesthesia include backache and headache, whereas feared but rare complications include paraplegia, intraspinal hemorrhage, cauda equina syndrome, nerve injury, and epidural hematoma. This case report presents a 40-year-old female with undiagnosed and asymptomatic ependymoma who presented with concerning neurological symptoms after receiving spinal anesthesia for elective cesarean delivery. Stat lumbar and thoracic spine magnetic resonance imaging (MRI) were performed on postoperative day 13 and were suggestive of a large hypervascular mass with areas of hemorrhage, concerning for ependymoma. An emergent laminectomy and mass resection were performed, resulting in an improvement in the patient's neurological symptoms. |
| Databáze: | OpenAIRE |
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