Late spinal subdural haematoma after spinal anaesthesia for total hip replacement

C. D. Moussallem; C. A. El-Yahchouchi; A. C. Charbel; G. Nohra

doi:10.1302/0301-620X.91B11.22258

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Late spinal subdural haematoma after spinal anaesthesia for total hip replacement

C. D. Moussallem
C. A. El-Yahchouchi
A. C. Charbel
G. Nohra

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Late spinal subdural haematoma after spinal anaesthesia for total hip replacement

Moussallem CD, El-Yahchouchi CA, Charbel AC, Nohra G. Late spinal subdural haematoma after spinal anaesthesia for total hip replacement. J Bone Joint Surg Br. 2009;91-B(11):1531-1532. doi:10.1302/0301-620X.91B11.22258

Moussallem, C. D., et al. “Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.” The Journal of Bone & Joint Surgery British Volume, vol. 91-B, no. 11, 2009, pp. 1531-1532., https://doi.org/10.1302/0301-620X.91B11.22258

Moussallem, C. D., El-Yahchouchi, C. A., Charbel, A. C., & Nohra, G. (2009). Late spinal subdural haematoma after spinal anaesthesia for total hip replacement. The Journal of Bone & Joint Surgery British Volume, 91-B(11), 1531-1532. https://doi.org/10.1302/0301-620X.91B11.22258

Moussallem, C. D., El-Yahchouchi, C. A., Charbel, A. C. and Nohra, G. (2009) “Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.” The Journal of Bone & Joint Surgery British Volume, 91-B(11), pp. 1531-1532. Available at: https://doi.org/10.1302/0301-620X.91B11.22258

Moussallem, C. D., C. A. El-Yahchouchi, A. C. Charbel, and G. Nohra. “Late spinal subdural haematoma after spinal anaesthesia for total hip replacement.” The Journal of Bone & Joint Surgery British Volume 91-B, no. 11 (2009): 1531-1532. https://doi.org/10.1302/0301-620X.91B11.22258

Moussallem CD, El-Yahchouchi CA, Charbel AC, Nohra G. Late spinal subdural haematoma after spinal anaesthesia for total hip replacement. J Bone Joint Surg Br. 2009 Nov 1;91-B(11):1531-1532. https://doi.org/10.1302/0301-620X.91B11.22258

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Abstract

We present a case of delayed presentation of a subdural haematoma causing cauda equina syndrome which occurred 96 hours after a spinal anaesthetic had been administered for an elective total hip replacement in an 86-year-old man. The patient had received low-molecular-weight heparin anticoagulation which had been delayed until 12 hours postoperatively. No other cause of the haemorrhage could be identified.

Correspondence should be sent to Dr C. D. Moussallem; e-mail: charbel_moussallem@hotmail.com

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