Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid
Jazyk angličtina Země Česko Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
37212137
DOI
10.14712/23362936.2023.15
PII: pmr_2023124020181
Knihovny.cz E-zdroje
- Klíčová slova
- Cord herniation, Dermoid, Dysraphism, Spinal anaesthesia, Spinal cord tumour, Thoracic,
- MeSH
- císařský řez MeSH
- dermoidní cysta * diagnóza chirurgie patologie MeSH
- dospělí MeSH
- hernie diagnóza etiologie patologie MeSH
- hrudní obratle patologie chirurgie MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- nádory hrudníku * patologie MeSH
- spinální anestezie * MeSH
- spinální punkce MeSH
- těhotenství MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Spinal anaesthesia (SA) is one of the most prevalent types of anaesthetic procedures. There are very few reports of cord herniation through the site of spinal canal stenosis due to tumour. A 33-year-old female presented with acute paraparesis after spinal anaesthesia for caesarean section. Magnetic resonance imaging (MRI) revealed an intradural mass from posterior of T6 to T8-T9 interface. We operated the patient and after laminectomy of T6 to T9, dermoid tumour containing hairs was totally resected and cord was completely decompressed. After 6 months, the patient is without any neurological deficit. Puncturing the dura with cerebrospinal fluid (CSF) in the presence of an extramedullary mass could cause cord herniation through the blockade. In these cases, awareness about related signs even in absence of symptoms or complaints could help us to prevent post-SA neurological deficit.
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