Education  |   May 2018
Images in Anesthesiology: Spinal Subdural Hematoma after Spinal Drain for Endovascular Thoracic Aortic Aneurysm Repair
Author Notes
  • From the Department of Anesthesiology, Ohio State University, Columbus, Ohio.
  • Charles D. Collard, M.D., served as Handling Editor for this article.
    Charles D. Collard, M.D., served as Handling Editor for this article.×
  • Address correspondence to Dr. Awad: Hamdy.Elsayed-Awad@osumc.edu
Article Information
Education / Images in Anesthesiology / Cardiovascular Anesthesia / Central and Peripheral Nervous Systems / Trauma / Burn Care
Education   |   May 2018
Images in Anesthesiology: Spinal Subdural Hematoma after Spinal Drain for Endovascular Thoracic Aortic Aneurysm Repair
Anesthesiology 5 2018, Vol.128, 1004. doi:10.1097/ALN.0000000000001995
Anesthesiology 5 2018, Vol.128, 1004. doi:10.1097/ALN.0000000000001995
SPINAL drain is indicated as a standard of care in open and endovascular thoracic aortic aneurysm repair to protect the spinal cord from ischemic injury and paralysis. Unfortunately, subdural hematoma is a complication of spinal drain that can happen during needle insertion, cerebrospinal fluid drainage, and catheter removal. Symptoms of subdural hematoma can manifest as low back pain, muscle weakness, paralysis, bowel or bladder incontinence, or cauda equina syndrome. These sagittal (panel A) and axial (panel B) T1-weighted magnetic resonance images of the lumbar spine demonstrate a subdural hematoma at the L5 to S2 vertebral levels that developed after difficult spinal drain placement.
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