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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 11, 1531-1532.
doi: 10.1302/0301-620X.91B11.22258  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Late spinal subdural haematoma after spinal anaesthesia for total hip replacement

C. D. Moussallem, MD, PGY4 Orthopaedic Surgery1; C. A. El-Yahchouchi, Medical Student1; A. C. Charbel, MD, Orthopaedic Surgeon2; and G. Nohra, MD, Head of Neurosurgery2

1 Faculty of Medical Sciences Lebanese University, P. O. Box 113-6155, Beirut, Lebanon.
2 Notre Dame des Secours University Hospital, PO Box 3, Byblos, Lebanon.

Correspondence should be sent to Dr C. D. Moussallem; e-mail: charbel_moussallem{at}hotmail.com

We present a case of delayed presentation of a subdural haematoma causing cauda equina syndrome which occurred 96 hours after a spinal anaesthetic had been administered for an elective total hip replacement in an 86-year-old man. The patient had received low-molecular-weight heparin anticoagulation which had been delayed until 12 hours postoperatively. No other cause of the haemorrhage could be identified.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General