Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Epidural lipomatosis and congenital small spinal canal in spinal anaesthesia: a case report and review of the literature | Journal of Medical Case Reports BioMed Central Open Access Case report Epidural lipomatosis and congenital small spinal canal in spinal anaesthesia a case report and review of the literature Per Flisberg1 Owain Thomas1 Bo Geijer2 and Ulf Schott 1 Address Department of Intensive and Perioperative Care Lund University Hospital 22185 Lund Sweden and 2Department of Radiology Halmstad Central Hospital Halmstad Sweden Email Per Flisberg - Owain Thomas - Bo Geijer - Ulf Schott - Corresponding author Published 16 November 2009 Received 3 March 2008 Journal of Medical Case Reports 2009 3 128 doi 1752-1947-3-128 Accepted 16 November 2009 This article is available from http content 3 1 128 2009 Flisberg et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Complications after lumbar anaesthesia and epidural blood patch have been described in patients with congenital small spinal canal and increased epidural fat or epidural lipomatosis. These conditions whether occurring separately or in combination require magnetic resonance imaging for diagnosis and grading but their clinical significance is still unclear. Case presentation A 35-year-old Caucasian woman who was undergoing a Caesarean section developed a longstanding L4-L5 unilateral neuropathy after the administration of spinal anaesthesia. There were several attempts to correctly position the needle one of which resulted in paraesthesia. A magnetic resonance image revealed that the patient s bony spinal canal was congenitally small and had excess epidural fat. The cross-sectional area of the dural sac was then reduced which left practically
