Spinal anaesthesia in a patient with post-spine surgery dural ectasia

Rev Esp Anestesiol Reanim. 2014 Jan;61(1):47-50. doi: 10.1016/j.redar.2013.08.004. Epub 2013 Oct 14.

Abstract

Dural sac ectasia is a very infrequent anatomical abnormality, usually caused by connective tissue diseases, as Marfan syndrome. Very few cases have been described being a consequence of a previous spine surgical procedure. We describe the case of an elderly patient who should be operated on twice due to sub-occlusive colon disease. Surgery was performed under spinal anaesthesia. A dural sac ectasia was suspected after the first procedure and the abdominal X-ray was reviewed. The characteristics of the anatomical alteration and the course of both anaesthetic procedures were described. X-ray and CT images were provided.

Keywords: Aged; Aged 80 and over; Anaesthesia; Anatomic variations; Anestesia subaracnoidea; Frail elderly; Spinal; Surgical procedures; anciano, anciano de 80 o más años, anciano frágil; cirugía general; variaciones anatómicas.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdomen, Acute / etiology
  • Aged, 80 and over
  • Anesthesia, Spinal / methods*
  • Anti-Bacterial Agents / therapeutic use
  • Bupivacaine / administration & dosage
  • Colectomy / methods
  • Colostomy
  • Combined Modality Therapy
  • Dilatation, Pathologic / etiology
  • Dura Mater / pathology*
  • Fatal Outcome
  • Humans
  • Injections, Spinal / adverse effects
  • Intestinal Volvulus / surgery*
  • Laminectomy
  • Male
  • Megacolon / complications
  • Megacolon / surgery
  • Peritonitis / drug therapy
  • Peritonitis / etiology
  • Peritonitis / surgery
  • Postoperative Complications / etiology*
  • Pressure
  • Sigmoid Diseases / surgery*
  • Surgical Wound Dehiscence / complications
  • Surgical Wound Dehiscence / surgery*

Substances

  • Anti-Bacterial Agents
  • Bupivacaine