Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report

Acute subdural hematoma (aSDH) is commonly encountered in the emergency department in patients with traumatic injuries. If the hematoma is small, non-expanding and asymptomatic, it is managed conservatively. However, other injuries sustained during trauma may warrant surgical intervention, during wh...

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Autores principales: Acharya, Utsav, Lamsal, Ritesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167266/
https://www.ncbi.nlm.nih.gov/pubmed/32346308
http://dx.doi.org/10.2147/LRA.S247413
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author Acharya, Utsav
Lamsal, Ritesh
author_facet Acharya, Utsav
Lamsal, Ritesh
author_sort Acharya, Utsav
collection PubMed
description Acute subdural hematoma (aSDH) is commonly encountered in the emergency department in patients with traumatic injuries. If the hematoma is small, non-expanding and asymptomatic, it is managed conservatively. However, other injuries sustained during trauma may warrant surgical intervention, during which anesthetic management becomes challenging. There have been reports of rebleeding in patients with aSDH after undergoing surgery under either general or spinal anesthesia. Here we present a case where ankle surgery for tri-malleolar fracture was successfully performed in a patient with traumatic aSDH under combined lumbar plexus and proximal (para-sacral) sciatic nerve block.
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spelling pubmed-71672662020-04-28 Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report Acharya, Utsav Lamsal, Ritesh Local Reg Anesth Case Report Acute subdural hematoma (aSDH) is commonly encountered in the emergency department in patients with traumatic injuries. If the hematoma is small, non-expanding and asymptomatic, it is managed conservatively. However, other injuries sustained during trauma may warrant surgical intervention, during which anesthetic management becomes challenging. There have been reports of rebleeding in patients with aSDH after undergoing surgery under either general or spinal anesthesia. Here we present a case where ankle surgery for tri-malleolar fracture was successfully performed in a patient with traumatic aSDH under combined lumbar plexus and proximal (para-sacral) sciatic nerve block. Dove 2020-04-15 /pmc/articles/PMC7167266/ /pubmed/32346308 http://dx.doi.org/10.2147/LRA.S247413 Text en © 2020 Acharya and Lamsal. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Acharya, Utsav
Lamsal, Ritesh
Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title_full Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title_fullStr Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title_full_unstemmed Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title_short Ankle Surgery in a Patient with Acute Subdural Hematoma Under Combined Lumbar Plexus and Proximal Sciatic Nerve Block – A Case Report
title_sort ankle surgery in a patient with acute subdural hematoma under combined lumbar plexus and proximal sciatic nerve block – a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167266/
https://www.ncbi.nlm.nih.gov/pubmed/32346308
http://dx.doi.org/10.2147/LRA.S247413
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AT lamsalritesh anklesurgeryinapatientwithacutesubduralhematomaundercombinedlumbarplexusandproximalsciaticnerveblockacasereport

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