Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karolinum Press
2023-05-01
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| Series: | Prague Medical Report |
| Online Access: | https://pmr.lf1.cuni.cz/124/2/0181/ |
| _version_ | 1797821755411136512 |
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| author | Mansour Parvaresh Eshagh Bahrami Sayedali Ahmadi Arash Fattahi Ali Farid |
| author_facet | Mansour Parvaresh Eshagh Bahrami Sayedali Ahmadi Arash Fattahi Ali Farid |
| author_sort | Mansour Parvaresh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T09:58:28Z |
| format | Article |
| id | doaj.art-37bb4b19cd9848828bb206af3ac25424 |
| institution | Directory Open Access Journal |
| issn | 1214-6994 2336-2936 |
| language | English |
| last_indexed | 2024-03-13T09:58:28Z |
| publishDate | 2023-05-01 |
| publisher | Karolinum Press |
| record_format | Article |
| series | Prague Medical Report |
| spelling | doaj.art-37bb4b19cd9848828bb206af3ac254242023-05-23T11:23:04ZengKarolinum PressPrague Medical Report1214-69942336-29362023-05-01124218118810.14712/23362936.2023.15Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to AvoidMansour ParvareshEshagh BahramiSayedali AhmadiArash FattahiAli FaridSpinal 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.https://pmr.lf1.cuni.cz/124/2/0181/ |
| spellingShingle | Mansour Parvaresh Eshagh Bahrami Sayedali Ahmadi Arash Fattahi Ali Farid Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid Prague Medical Report |
| title | Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid |
| title_full | Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid |
| title_fullStr | Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid |
| title_full_unstemmed | Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid |
| title_short | Cord Herniation through the Site of Undiagnosed Thoracic Dermoid Tumour during Spinal Anaesthesia; Report of a Case and Describing Ways to Avoid |
| title_sort | cord herniation through the site of undiagnosed thoracic dermoid tumour during spinal anaesthesia report of a case and describing ways to avoid |
| url | https://pmr.lf1.cuni.cz/124/2/0181/ |
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