Document Detail

Sudden onset of subarachnoid block after subdural catheterization: a case of arachnoid rupture?
MedLine Citation:
PMID:  8777121     Owner:  NLM     Status:  MEDLINE    
We describe a patient who received an apparently uneventful extradural block in labour but developed rapid extension of neural block within minutes of receiving her first incremental dose 2 h later. Computed contrast tomography revealed radio-opaque dye within both the subdural and subarachnoid spaces, but none within the extradural space. This case report demonstrates that subdural spread of low-dose local anaesthetics is not always clinically distinguishable from extradural analgesia and that the arachnoid membrane may subsequently perforate with potentially serious consequences.
D W Elliott; F Voyvodic; P Brownridge
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  76     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-09-17     Completed Date:  1996-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  322-4     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care, Flinders Medical Centre, South Australia.
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MeSH Terms
Analgesia, Epidural / adverse effects*
Analgesia, Obstetrical / adverse effects*
Arachnoid / injuries*
Catheterization / adverse effects*
Nerve Block*
Subarachnoid Space / radiography
Tomography, X-Ray Computed
Comment In:
Br J Anaesth. 1996 Dec;77(6):806-7   [PMID:  9014640 ]

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