Selection Spinal Anesthesia Against an Unusual Finding: A Case Report Hairy Patch
Abstract
A 34-year-old woman was admitted for an emergency cesarean section at 38 weeks of pregnancy. She had no previous surgeries or illnesses. During the pre-operative evaluation, the anesthesia team noticed that the patient had not fasted. However, they decided to use spinal anesthesia for the emergency procedure. While preparing for the spinal examination, they discovered a large mass of hair covering the 3rd, 4th, and 5th lumbar vertebrae. Despite the emergency situation, the absence of fasting, and the risk of aspiration, the anesthesia team carefully considered all aspects of the patient's safety and decided to proceed with spinal anesthesia.
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[2] Olawin AM, J MD. Spinal Anesthesia. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.; 2024.
[3] Pardo M. Miller's principles of anesthesia8, editor: elsevier 2023. 591,2 p.
[4] Iftikhar W, De Jesus O. Spinal Dysraphism and Myelomeningocele. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC.; 2024.
[5] Mamo G, Batra R, Steinig J. A Case of Diastematomyelia Presenting With Minimal Neurologic Deficits in a Middle-Aged Patient. Cureus. 2021;13(1):e12621.
[6] Kanbur NO, Güner P, Derman O, Akalan N, Cila A, Kutluk T. Diastematomyelia: a case with familial aggregation of neural tube defects. ScientificWorldJournal. 2004;4:847-52.
[7] Lockman DS, Jones TM, Abele DC, Obbens E. Mal perforans and spina bifida occulta. Arch Dermatol. 1978; 114(3):404-5.
[8] Holste KG, Muraszko KM. Spina Bifida and Pregnancy. In: Gupta G, Rosen T, Al-Mufti F, Nanda A, Khandelwal P, Roychowdhury S, et al., editors. Neurological Disorders in Pregnancy: A Comprehensive Clinical Guide. Cham: Springer International Publishing; 2023. p. 523-8.
[9] Wood GG, Jacka MJ. Spinal hematoma following spinal anesthesia in a patient with spina bifida occulta. Anesthesiology. 1997; 87(4):983-4.
[10] Doi M, Sakurai Y, Sakamaki D, Tanaka S, Katori N, Uezono S. Ultrasonographic images of spina bifida before obstetric anesthesia: a case series. BMC Anesthesiol. 2023; 23(1):134.
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| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| Spinal anesthesia Spinal Dysraphism spina bifida hairy patch | ||
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How to Cite
1.
Babajani A, Mohebi T, Ahmadi M, Karimi A. Selection Spinal Anesthesia Against an Unusual Finding: A Case Report Hairy Patch. Arch Anesth & Crit Care. 2024;.
