RESUMO
We report two cases of hyperacute spinal subdural haematoma secondary to lumbar spinal anaesthesia, identified with MRI. Prompt diagnosis of this infrequent, potentially serious complication of spinal anaesthesia is essential, as early surgical evacuation may be needed. Suggestive MRI findings in this early phase include diffuse occupation filling of the spinal canal with poor delineation of the spinal cord on T1-weighted images, and a poorly-defined high-signal lesion with a low-signal rim on T2-weighted images.
Assuntos
Raquianestesia/efeitos adversos , Hematoma Subdural Agudo/diagnóstico , Hematoma Subdural Agudo/etiologia , Imageamento por Ressonância Magnética , Idoso , Feminino , Humanos , Região Lombossacral , MasculinoRESUMO
We report a case of a 19-year-old woman with seizures and mental deficiency attributed to perinatal anoxia. Brain MR showed a congenital malformation, a rare form of semilobar holoprosencephaly termed middle interhemispheric fusion.
