Anesth Pain Med.  2018 Jan;13(1):107-110. 10.17085/apm.2018.13.1.107.

Spinal anesthesia in a patient with postoperative iatrogenic pseudomeningocele: A case report

• Lee JW
• Kang H
• Choi ES
• Seol JW
• Shin S

• KMID: 2436065
• DOI: http://doi.org/10.17085/apm.2018.13.1.107

Abstract

Although spinal anesthesia is one of the most reliable anesthetic techniques in clinical practice, failures may occur in daily practice at rare occasions. Their causes are diverse and they include anatomical structural variations. In particular, postoperative anatomical changes often occur in patients who have undergone spine surgery and may cause failures of spinal anesthesia. Postoperative pseudomeningocele constitutes extradural cerebrospinal fluid collected from a dural tear and it is considered a very rare complication of spine surgery. We describe the case where a patient with unexpected postoperative iatrogenic pseudomeningocele received lower extremity surgery under spinal anesthesia.

Keyword

Arachnoid cyst; Spinal anesthesia

MeSH Terms

Anesthesia, Spinal*
Cerebrospinal Fluid
Humans
Lower Extremity
Spine
Tears

Figure

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  Fig. 1 Lumbar sagittal and axial T2 weighted magnetic resonance image showing the pseudomeningocele at the L2-L5 level.

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