{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T19:39:05Z","timestamp":1776195545684,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T00:00:00Z","timestamp":1686009600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The spinal subdural space is an avascular, potential space and is a rare location for intraspinal hematomas. Compared to spinal epidural hematomas, spinal subdural hematomas are uncommonly described complications of lumbar puncture for spinal or epidural anesthesia, particularly in patients who have no pre-existing bleeding disorders or history of antiplatelet or anticoagulant intake. We describe a 19-year-old girl who had a large thoracolumbar spinal subdural hematoma following epidural anesthesia for elective cholecystectomy with no pre-existing bleeding diathesis that caused rapidly developing paraplegia that evolved over the next 2 days following surgery. Nine days after the initial surgery she underwent multilevel laminectomy and surgical evacuation with eventual satisfactory recovery. Even epidural anesthesia without thecal sac violation can result in bleeding in the spinal subdural space. The possible sources of bleed in this space may be from injury to an interdural vein or extravasation of subarachnoid bleed into the subdural space. When neurological deficits occur, prompt imaging is mandatory and early evacuation yields gratifying results.<\/jats:p>","DOI":"10.1055\/s-0043-1768576","type":"journal-article","created":{"date-parts":[[2023,6,6]],"date-time":"2023-06-06T23:39:19Z","timestamp":1686094759000},"page":"347-351","source":"Crossref","is-referenced-by-count":4,"title":["Spinal Subdural Hematoma following Epidural Anesthesia"],"prefix":"10.1055","volume":"18","author":[{"given":"Rajesh","family":"Bhosle","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimble","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamshuddin Senior","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grandhi","family":"Aditya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jagriti","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabanita","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasad","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, National Neurosciences Centre, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,6]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"440","DOI":"10.4103\/0972-2327.116935","article-title":"Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma","volume":"16","author":"P Krishnan","year":"2013","journal-title":"Ann Indian Acad Neurol"},{"issue":"S 22","key":"ref2","first-page":"S581","article-title":"Iatrogenic spinal hematoma as a complication of lumbar puncture: what is the risk and best management plan?","volume":"7","author":"M W Brown","year":"2016","journal-title":"Surg Neurol Int"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/S0140-6736(02)67624-X","article-title":"Case of spinal apoplexy","volume":"2","author":"R Jackson","year":"1869","journal-title":"Lancet"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"4845","DOI":"10.3390\/ijerph19084845","article-title":"Spinal intradural hematoma after spinal anesthesia in a young male patient: case report and review of the literature","volume":"19","author":"J Y Ji","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10143-002-0224-y","article-title":"Spinal hematoma: a literature survey with meta-analysis of 613 patients","volume":"26","author":"D Kreppel","year":"2003","journal-title":"Neurosurg Rev"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1148\/rg.2018180099","article-title":"Spinal hematomas: what a radiologist needs to know","volume":"38","author":"J L Pierce","year":"2018","journal-title":"Radiographics"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1001\/archneur.1974.00490380082011","article-title":"Spinal subdural hematomas complicating lumbar puncture","volume":"31","author":"R N Edelson","year":"1974","journal-title":"Arch Neurol"},{"issue":"10","key":"ref8","first-page":"1895","article-title":"Acute spinal subdural hematoma: MR and CT findings with pathologic correlates","volume":"15","author":"M J Post","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"key":"ref9","first-page":"2431041","article-title":"Acute, nontraumatic spontaneous spinal subdural hematoma: a case report and systematic review of the literature","volume":"2017","author":"L A Rettenmaier","year":"2017","journal-title":"Case Rep Neurol Med"},{"issue":"05","key":"ref10","first-page":"157","article-title":"Spinal subdural haematoma: a rare complication of lumbar puncture. 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