We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although c...

Spinal anesthesia has been regarded as safe and simple technique since its introduction into anesthesia practice. Bradycardia and hypotension under spinal anesthesia is a known phenomenon. However sudden unexpected bradycardia and cardiac arrest under spinal anesthesia is considered as rare and uncommon manifestation. On the contrary, as per current reviews, severe bradycardia and cardiac arres...

Method: Sixty patients were evaluated for hypotension induced by Lidocaine used intrathecally or epidurally. The patients were randomly assigned in the two groups; all the patients had gynecological surgery. Intrathecal anesthesia was administered using 75mg (1.5ml) of Lidocaine 5% in the first group and epidural anesthesia was administered using 300mg (20ml) of Lidocaine 1.5% in the second gro...

Hypotension during spinal anaesthesia for caesarean section remains a common scenario in our clinical practice. Certain risk factors play a role in altering the incidence of hypotension. Aortocaval compression counteraction does not help to prevent hypotension. Intravenous crystalloid prehydration has poor efficacy; thus, the focus has changed toward co-hydration and use of colloids. Phenylephr...

CaseThis case report describes a 43-year-old female patient who presented 1-year post-anterior cervical discectomy and fusion (ACDF) with positional headaches lightheadedness.ConclusionHealthcare professionals patients undergoing spinal surgery should be aware of late presentation CSF leaks which can represent gradual decline in neurological function. Surgical candidates at risk to develop coun...

We have compared two methods of reducing hypotension during spinal anaesthesia in elderly patients, 6% hetastarch and crystalloid or methoxamine 10 mg i.m., in terms of haemodynamic stability and requirements for additional vasopressors. Sixty-two patients (aged 60-97 yr) undergoing surgical fixation of fractured neck of femur were allocated randomly to receive 6% hetastarch (Hespan) 500 ml fol...

Spontaneous intracranial hypotension (SIH) is a syndrome in which a cerebrospinal fluid leak occurs within the spinal axis, and may lead to a constellation of neurological symptoms. A postural or orthostatic headache is the most common of these symptoms1. Spontaneous intracranial hypotension was first recognized by Georg Schaltenbrand in the 1930s. Many terms have been used to describe the cond...

Background: Hypotension following spinal anesthesia (SA) in lower segment cesarean section can be deleterious to the parturient and fetus. Ketamine acts by stimulating cardiovascular system leading high blood pressure increase heart rate (HR) cardiac output. Aims Objectives: This study aimed assess efficacy of 15 mg prophylactic intravenous ketamine elective for prevention hypotension after SA....