Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report
Abstract Background Spontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage. Therefore, there is little data in the literature regarding anesthetic management of cervical lo...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-017-1335-y |
| _version_ | 1818040555946377216 |
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| author | Mehdi Samali Abdelghafour Elkoundi Achraf Tahri Mustapha Bensghir Charki Haimeur |
| author_facet | Mehdi Samali Abdelghafour Elkoundi Achraf Tahri Mustapha Bensghir Charki Haimeur |
| author_sort | Mehdi Samali |
| collection | DOAJ |
| description | Abstract Background Spontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage. Therefore, there is little data in the literature regarding anesthetic management of cervical localization during pregnancy. The potential for difficult airway management with the patient under general anesthesia is one of the major concerns that needs to be addressed to prevent further cord compression. Anesthetic management should also include measures to maintain the mean arterial pressure to improve spinal cord perfusion. Furthermore, spine surgery in pregnant patients needs special consideration in terms of positioning and in the postoperative period. Case presentation We present a case of a 35-year-old white woman at 21 weeks of gestation with a spontaneous cervical epidural hematoma. Fiberoptic bronchoscope-guided nasal intubation was a safe option to ensure a higher rate of successful endotracheal intubation while minimizing the risk of aggravating the injury. Her care posed other multiples challenges that required a multidisciplinary team approach. Conclusions The case of our patient serves as a reminder of this rare condition and its implications regarding anesthesia. |
| first_indexed | 2024-12-10T08:16:24Z |
| format | Article |
| id | doaj.art-cab08d69a6374741956b286aad431d62 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-10T08:16:24Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-cab08d69a6374741956b286aad431d622022-12-22T01:56:27ZengBMCJournal of Medical Case Reports1752-19472017-06-011111510.1186/s13256-017-1335-yAnesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case reportMehdi Samali0Abdelghafour Elkoundi1Achraf Tahri2Mustapha Bensghir3Charki Haimeur4Department of Anesthesiology and Intensive Care, Military Hospital Mohammed 5 Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed 5Department of Anesthesiology and Intensive Care, Military Hospital Mohammed 5 Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed 5Department of Anesthesiology and Intensive Care, Military Hospital Mohammed 5 Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed 5Department of Anesthesiology and Intensive Care, Military Hospital Mohammed 5 Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed 5Department of Anesthesiology and Intensive Care, Military Hospital Mohammed 5 Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed 5Abstract Background Spontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage. Therefore, there is little data in the literature regarding anesthetic management of cervical localization during pregnancy. The potential for difficult airway management with the patient under general anesthesia is one of the major concerns that needs to be addressed to prevent further cord compression. Anesthetic management should also include measures to maintain the mean arterial pressure to improve spinal cord perfusion. Furthermore, spine surgery in pregnant patients needs special consideration in terms of positioning and in the postoperative period. Case presentation We present a case of a 35-year-old white woman at 21 weeks of gestation with a spontaneous cervical epidural hematoma. Fiberoptic bronchoscope-guided nasal intubation was a safe option to ensure a higher rate of successful endotracheal intubation while minimizing the risk of aggravating the injury. Her care posed other multiples challenges that required a multidisciplinary team approach. Conclusions The case of our patient serves as a reminder of this rare condition and its implications regarding anesthesia.http://link.springer.com/article/10.1186/s13256-017-1335-ySpontaneous cervical epidural hematomaPregnancyAnesthesiaFiberoptic bronchoscope intubation |
| spellingShingle | Mehdi Samali Abdelghafour Elkoundi Achraf Tahri Mustapha Bensghir Charki Haimeur Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report Journal of Medical Case Reports Spontaneous cervical epidural hematoma Pregnancy Anesthesia Fiberoptic bronchoscope intubation |
| title | Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report |
| title_full | Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report |
| title_fullStr | Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report |
| title_full_unstemmed | Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report |
| title_short | Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report |
| title_sort | anesthetic management of spontaneous cervical epidural hematoma during pregnancy a case report |
| topic | Spontaneous cervical epidural hematoma Pregnancy Anesthesia Fiberoptic bronchoscope intubation |
| url | http://link.springer.com/article/10.1186/s13256-017-1335-y |
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