Reactions 1051 - 14 May 2005

SBupivacaine/ropivacaine

Intracerebral haemorrhage: case reportA 50-year-old woman developed an intracerebral

haemorrhage following spinal-epidural anaesthesia forhaemorrhoidectomy.

The woman received bupivacaine 10mg intrathecally foranaesthesia, and a continuous ropivacaine infusion [dosageand duration of treatment not stated] via an epidural catheterfor postoperative analgesia. She also received SC enoxaparinsodium on postoperative day 1. On postoperative day 2, shewas discovered unconscious and biting her tongue. A brain CTscan showed a recent frontal haematoma with subarachnoidhaemorrhage. She recovered normal function 12 hours later.[Treatment given not stated.]

Author comment: It is questionable whether thecombined spinal anaesthesia is the direct and unequivocalcause of the intracerebral haemorrhage.Albaladejo P, et al. Intracerebral hematoma after combined spinal-epiduralanesthesia: complication or coincidence? Canadian Journal of Anesthesia 52:210-211, No. 2, Feb 2005 - France 801008281

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Reactions 14 May 2005 No. 10510114-9954/10/1051-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved