Shima T, Tokutomi S, Momose K, Hashimoto Y
Division of Anesthesia, Sendai Red Cross Hospital.
Masui. 1998 May;47(5):602-5.
A 32-year-old woman with spina bifida occulta was scheduled for hemorroidectomy under spinal anesthesia. Preoperatively, computed tomography and magnetic resonance imaging (MRI) were performed. The MRI demonstrated the conus medul laris reaching the L 3 level and a lipoma connected with conus medullaris intrathecally. Spinal anesthesia was done successfully at the L 3-4 interspace using 0.3% dibucaine 1.2 ml with 5% glucose 0.8 ml. Postoperatively she showed no neurologic complications. With exact anatomical findings of MRI, spinal anesthesia can be safely performed for patients with spina bifida occulta.
一名32岁隐性脊柱裂女性计划在脊髓麻醉下进行痔切除术。术前进行了计算机断层扫描和磁共振成像（MRI）。MRI显示脊髓圆锥到达L3水平，并有一个脂肪瘤在鞘内与脊髓圆锥相连。使用0.3%丁卡因1.2 ml加5%葡萄糖0.8 ml在L3 - 4间隙成功实施了脊髓麻醉。术后她未出现神经并发症。凭借MRI精确的解剖学发现，隐性脊柱裂患者可安全地进行脊髓麻醉。
