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  • pain
  • It may also (rarely) occur after an epidural anaesthetic (a common type of pain relief used during childbirth and for other reasons). (qmedicine.co.in)
  • The patient had excellent labor analgesia but experienced lumbar back, left buttock, and generalized proximal left lower extremity pain aggravated by neck or back flexion, peaking in intensity 5 h after the epidural wore off. (asahq.org)
  • paralysis
  • Symptomatic SEH usually presents with spinal nerve deficits, including paralysis and acute, severe pain, and usually requires revision surgery. (hindawi.com)
  • Brown-Séquard syndrome (also known as Brown-Séquard's hemiplegia, Brown-Séquard's paralysis, hemiparaplegic syndrome, hemiplegia et hemiparaplegia spinalis, or spinal hemiparaplegia) is caused by damage to one half of the spinal cord, resulting in paralysis and loss of proprioception on the same (or ipsilateral) side as the injury or lesion, and loss of pain and temperature sensation on the opposite (or contralateral) side as the lesion. (wikipedia.org)
  • It may be necessary to delay anticoagulant dosing in these persons in order to decrease the risk for spinal or epidural hematomas, which can manifest as permanent or long-term paralysis. (wikipedia.org)
  • Surgery
  • After removal of the hematoma, his symptoms improved gradually, and he was discharged ambulatory one month after revision surgery. (hindawi.com)
  • NSAIDs, platelet inhibitors, other anticoagulants), in patients with a history of traumatic or repeated epidural or spinal punctures, a history of spinal deformity or surgery, or if optimal timing between the administration of edoxaban and neuraxial procedures is not known. (wikipedia.org)
  • If surgery allows, spinal anaesthesia is very useful in patients with severe respiratory disease such as COPD as it avoids intubation and ventilation. (wikipedia.org)
  • Some sedation is sometimes provided to help the patient relax and pass the time during the procedure, but with a successful spinal anaesthetic the surgery can be performed with the patient wide awake. (wikipedia.org)
  • An epidural injection or infusion for pain relief (e.g. in childbirth) is less likely to cause loss of muscle power, but has to be augmented to be sufficient for surgery. (wikipedia.org)
  • injection
  • Also, injection of spinal anaesthesia higher than the level of L1 can cause damage to the spinal cord, and is therefore usually not done. (wikipedia.org)
  • The injection can result in a loss of sensation-including the sensation of pain-by blocking the transmission of signals through nerve fibres in or near the spinal cord. (wikipedia.org)
  • Injection of analgesics and steroids into the epidural space may improve some forms of back pain. (wikipedia.org)
  • acute spinal
  • Magnetic resonance imaging demonstrated scattered subdural fast spin echo T1 (fig. A) and T2 (figs. B and C) hypointensities with associated blooming artifact on gradient imaging (fig. D) most prominent at the L3 interspace (arrows) consistent with an acute spinal subdural hematoma. (asahq.org)
  • posterior
  • In the case of epidural hematoma in the posterior cranial fossa, the herniation is tonsillar and causes the Cushing's triad: hypertension, bradycardia, and irregular respiration. (wikipedia.org)
  • canal
  • After the conus medullaris, the canal contains a mass of nerves (the cauda equina or "horse-tail") that branches off the lower end of the spinal cord and contains the nerve roots from L1-5 and S1-5. (wikipedia.org)
  • Compression, trauma or other damage to this region of the spinal canal can result in cauda equina syndrome. (wikipedia.org)
  • This is due to the spinal canal narrowing that these kind of syndromes can produce. (wikipedia.org)
  • The term epidural (from Ancient Greek ἐπί, "on, upon" + dura mater) is an adjective referring to the epidural space, part of the spinal canal in mammals. (wikipedia.org)
  • It is the space within the canal (formed by the surrounding vertebrae) lying outside the dura mater (which encloses the arachnoid mater, subarachnoid space, the cerebrospinal fluid, and the spinal cord). (wikipedia.org)
  • In other mammals, the relationship between the spinal canal and its contents is similar to that in humans, although many species possess a tail into which the epidural space is prolonged. (wikipedia.org)
  • cauda equina
  • They may cause pressure on the spinal cord or cauda equina, which may present as pain, muscle weakness, or dysfunction of the bladder and bowel. (wikipedia.org)
  • Cauda equina syndrome (CES) is symptoms due to damage to the bundle of nerves below the end of the spinal cord known as the cauda equina. (wikipedia.org)
  • dura mater
  • On images produced by CT scans and MRIs, epidural hematomas usually appear convex in shape because their expansion stops at the skull's sutures, where the dura mater is tightly attached to the skull. (wikipedia.org)
  • The dura mater is attached to the skull, whereas in the spinal cord, the dura mater is separated from the bone (vertebrae) by a space called the epidural space, which contains fat and blood vessels. (wikipedia.org)
  • occur
  • 1 Although more likely to occur in patients with coagulopathy from medications or various disease processes, spinal subdural hematoma may present without predisposing conditions. (asahq.org)
  • Epidural, subdural, and subarachnoid hemorrhages are extra-axial bleeds, occurring outside of the brain tissue, while intra-axial hemorrhages, including intraparenchymal and intraventricular hemorrhages, occur within it. (wikipedia.org)
  • Thus only 20 to 30% of epidural hematomas occur outside the region of the temporal bone. (wikipedia.org)
  • space
  • She was placed in the right lateral decubitus position and the epidural space was identified using a paramedian approach at the T5-T6 interspace with the loss of resistance to physiologic saline technique. (hindawi.com)
  • In the head, the epidural space is known as a potential space. (wikipedia.org)
  • risk
  • 1 The format of this leaflet was determined by the Ministry of Health and its content was checked and approved by it in May WARNING: (A) PREMATURE DISCONTINUATION OF XARELTO INCREASES THE RISK OF THROMBOTIC EVENTS, (B) SPINAL/EPIDURAL HEMATOMA A. PREMATURE DISCONTINUATION OF XARELTO INCREASES THE RISK OF THROMBOTIC EVENTS Premature discontinuation of any oral anticoagulant, including XARELTO, increases the risk of thrombotic events. (docplayer.net)
  • fibres
  • To administer a spinal anaesthetic to higher levels may affect the ability to breathe by paralysing the intercostal respiratory muscles, or even the diaphragm in extreme cases (called a "high spinal", or a "total spinal", with which consciousness is lost), as well as the body's ability to control the heart rate via the cardiac accelerator fibres. (wikipedia.org)
  • neurologic
  • Thorough review of the entire peripartum course, as well as careful history and neurologic examination, direct the anesthesiologist in obtaining imaging to differentiate hematoma from other etiologies. (asahq.org)
  • chronic
  • Chronic spinal inflammatory conditions such as Paget disease, neurosarcoidosis, chronic inflammatory demyelinating polyneuropathy, ankylosing spondylitis and chronic tuberculosis can cause it. (wikipedia.org)
  • Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain" (PDF). (wikipedia.org)
  • vertebrae
  • The condition is widely referred to as a slipped disc, ( No longer ) but this term is not medically accurate as the spinal discs are firmly attached between the vertebrae and cannot "slip" out of place. (wikipedia.org)
  • anaesthetic
  • To administer a spinal anaesthetic to higher levels may affect the ability to breathe by paralysing the intercostal respiratory muscles, or even the diaphragm in extreme cases (called a "high spinal", or a "total spinal", with which consciousness is lost), as well as the body's ability to control the heart rate via the cardiac accelerator fibres. (wikipedia.org)
  • usually
  • Inability to walk, with this unusual sensory examination completes a triad of signs and usually represents spinal tuberculosis. (wikipedia.org)