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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 2  |  Page : 199-201

Dural ectasia


1 Department of Anaesthesia, M. L. B. Medical College, Jhansi, Uttar Pradesh, India
2 Department of Orthopaedics, Jhansi Orthopaedic Hospital, Jhansi, Uttar Pradesh, India

Correspondence Address:
Neha Gupta
H-7, Veerangana Nagar, Kanpur Road, Jhansi - 284 128, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.130829

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Dural ectasia is one of the likely causes of incomplete or failed spinal anaesthesia. Its association with diseases like Marfans syndrome, neurofibromatosis, osteogenesis imperfecta, vertebral fracture, postopertative adhesions, trauma etc., is often overlooked as a reason for inadequate spinal anaesthesia. Greater than normal volume of cerebrospinal fluid in the lumber theca in dural ectasia is postulated to restrict the spread of intrathecally injected Local anaesthetic. Here, we report a case of failed spinal anaesthesia but successful epidural anaesthesia in later setting in a patient with dural ectasia.


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