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British Journal of Anaesthesia, 2002, Vol. 88, No. 3 438-440
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Lumbar ependymoma presenting with paraplegia following attempted spinal anaesthesia

M. Jaeger*,1,2, E. Rickels2, A. Schmidt3, M. Samii2 and U. Blömer2

1Department of Neurosurgery, University of Leipzig, Johannisalle 34, D-04103 Leipzig, Germany. 2Department of Neurosurgery and 3Department of Neuroradiology, Medical School Hannover, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany*Corresponding author

Neurological deterioration from intraspinal haematoma following insertion of a spinal needle is extremely rare. We present the case of a 28-yr-old female, who presented with complete paraplegia following attempted spinal anaesthesia for delivery of her third child. Space- occupying iatrogenic spinal haemorrhage from a previously undiagnosed lumbar ependymoma was found to be the precipitating cause. Following laminotomy with blood clot and tumour removal her neurological function improved.

Br J Anaesth 2002; 88: 438–40


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