Senol, Nilgün Suleyman Demirel University - Faculty of Medicine - Department of Neurosurgery, Turkey , Kerman, Memduh Fatih University - Sema Hospital - Department of Neurosurgery, Turkey , Coskun, Kerem Kenan Fatih University - Sema Hospital - Department of Neurosurgery, Turkey , Korkmaz, Feride Fatih University - Sema Hospital - Department of Anesthesiology and Reanimation, Turkey

Arachnoid herniation with needle trauma in regional anaesthesia: Case report

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Background: Spinal and epidural blocks are accepted techniques for regional anaesthesia, and lumbar puncture is the way of application anaesthesia. Lumbar puncture is a procedure associated with minimal risk. Slight contact of the needle tip to the dura mater can cause perforation. Serious complications are relatively rare. Case Report: We report a rare case of an arachnoid herniation, occurred after regional anaesthesia. Arachnoid herniation was seen incidentaly during the third operation for lumbar back and leg pain. Dural defect is primarily repaired additional to the decompression and posterior stabilization. Conclusion: Although spinal and epidural procedure is widely used for anaesthesia, it may rarely cause complications. Arachnoid herniations can be seen with the minor dural trauma from inserting the epidural tube or spinal puncture. Needle gauche is important during regional anaesthesia not to cause complications.

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arachnoid herniation , epidural anaesthesia , dural injury

Medical Journal Of Suleyman Demirel University

57