Cerebral Venous Thrombosis: A Rare Complication of Spinal Anesthesia

• 作者: Raphael M. Kabore Habib A. K. Ouiminga Labodi Lompo H. Desire Sankara Anselme Dabilgou Alassane Drave Svetlana Barro Cherban Christian Napon Athanase Millogo Jean Kabore
• 来源期刊: 神经科学国际期刊(英文)
• 学科: 医学
• 关键词: Spinal Anesthesia Post Spinal Puncture Headache Cerebral Venous Thrombosis
• 年，卷（期）: 2021,（1）
• 页码范围: 1-7
• 页数: 7页
• 分类号: R74

摘要

<b><span style="font-family:Verdana;">Introduction: </span></b>Cerebral venous thrombosis (CVT) is a rare complication of spinal anesthesia. The diagnosis is difficult when it occurs by isolated headache, following post spinal puncture headache (PSPH). We report a case of cerebral venous thrombosis complicating PSPH, following <span>a spinal</span> anesthesia. <b><span>Observation:</span></b><span> A 23-year-old man was admitted to the emergency room for</span> PSPH appeared 6 hours after a spinal <span>aesthesia</span> for removal of osteosynthesis equipment from the<span style="font-family:Verdana;"></span><span style="font-family:;" "=""> right tibial plateau. The headache was <span>fronto</span>-occipital, relieved by lying down. Six days later, <span>headache</span> became permanent, not relieved by morphine, associated with vomiting. The neurological examination was normal. Brain magnetic resonance Magnetic venography showed superior sagittal sinus and right transverse sinus thrombosis. After administration of low molecular weight heparin at curative dose, and warfarin under INR control, the evolution was marked by a rapid regression of headaches on the same day. After a 1-year <span>setback,</span> the patient was asymptomatic. <b>Conclusion:</b> CVT is a rare complication of spinal anesthesia and potentially severe if diagnosed lately. Urgent brain imaging must be performed for any atypical headache or the onset of neurological disorders so as not to misunderstand cerebral vein thrombosis. Controlling the spine anesthesia would reduce the inadvertent perforation of the dura-mother that would lead to CVT complicating post spinal puncture headaches.</span>