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反复腰椎穿刺术后马尾综合征:一例报告并文献复习

Cauda equina syndrome after repeated spinal attempts: A case report and review of the literature.

作者信息

Goyal Lajya Devi, Kaur Haramritpal, Singh Amandeep

机构信息

Department of Obstetrics and Gynaecology, GGS Medical College and Hospital, Faridkot, Punjab, India.

Department of Anaesthesia, GGS Medical College and Hospital, Faridkot, Punjab, India.

出版信息

Saudi J Anaesth. 2015 Apr-Jun;9(2):214-6. doi: 10.4103/1658-354X.152892.

DOI:10.4103/1658-354X.152892
PMID:25829916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4374233/
Abstract

Spinal and epidural blocks are widely used for cesarean section. Spinal hematoma causing cauda equina syndrome is a rare complication after spinal anesthesia (SA), but can lead to severe neurological deficit. It is usually associated with difficult SA and requires surgical decompression in most of the cases.

摘要

脊髓阻滞和硬膜外阻滞广泛用于剖宫产手术。脊髓血肿导致马尾综合征是脊髓麻醉(SA)后一种罕见的并发症,但可导致严重的神经功能缺损。它通常与困难的脊髓麻醉相关,在大多数情况下需要手术减压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/06dc7fb5a2bf/SJA-9-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/0875dbc63508/SJA-9-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/da40ff824a46/SJA-9-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/f4394d17c573/SJA-9-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/06dc7fb5a2bf/SJA-9-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/0875dbc63508/SJA-9-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/da40ff824a46/SJA-9-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/f4394d17c573/SJA-9-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8e2/4374233/06dc7fb5a2bf/SJA-9-214-g004.jpg

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本文引用的文献

1
Epidural haematoma: Rare complication after spinal while intending epidural anaesthesia with long-term follow-up after conservative treatment.硬膜外血肿:硬膜外麻醉时脊髓罕见并发症,保守治疗后长期随访。
Indian J Anaesth. 2011 Jan;55(1):71-3. doi: 10.4103/0019-5049.76596.
2
Cauda equina syndrome following an uneventful spinal anaesthesia.脊髓麻醉过程顺利后发生马尾综合征。
Indian J Anaesth. 2010 Jan;54(1):68-9. doi: 10.4103/0019-5049.60505.
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Cauda equina syndrome.马尾综合征
BMJ. 2009 Mar 31;338:b936. doi: 10.1136/bmj.b936.
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Subdural hematoma after atraumatic spinal.
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Rev Esp Anestesiol Reanim. 2003 Dec;50(10):504-9.
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Post lumbar puncture spinal subarachnoid hematoma causing paraplegia: a short report.腰椎穿刺后脊髓蛛网膜下腔血肿致截瘫:一则简短报告
Neurol India. 2002 Sep;50(3):367-9.
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Spontaneous spinal subdural hematoma with spontaneous resolution.自发性脊髓硬膜下血肿伴自发消退。
Spinal Cord. 2000 Mar;38(3):192-6. doi: 10.1038/sj.sc.3100967.
9
Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature.脊髓硬膜下血肿:腰椎穿刺的一种罕见并发症。病例报告及文献综述。
Md Med J. 1999 Jan-Feb;48(1):15-7.
10
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Anasthesiol Intensivmed Notfallmed Schmerzther. 1998 Aug;33(8):517-20. doi: 10.1055/s-2007-994804.