[ XXXX after spinal anesthesia: case report].

@entity1 @entity1244 @entity1158 @entity410 @entity558 @entity5 @entity49 @entity2979 @entity10
INTRODUCTION: @entity49 ( @entity49 ) is a rare, but serious complication after spinal anesthesia. It is often related to the presence of predisposing factors, such as pregnancy, puerperium, oral contraceptive use, and @entity5 . @entity10 is the most common symptom. We describe a case of a @entity1 who underwent spinal anesthesia who had postoperative @entity10 complicated with @entity49 . CASE REPORT: Male @entity1 , 30 years old, ASA 1, who underwent uneventful arthroscopic knee surgery under spinal anesthesia. Forty-eight hours after the procedure, the @entity1 showed frontal, @entity10 that improved when positioned supine. Diagnosis of @entity1244 was made in the general emergency room, and he received symptomatic medication. In subsequent days, the @entity10 worsened with holocranial location and with little improvement in the supine position. The @entity1 presented with left @entity1158 followed by @entity410 . He underwent magnetic resonance venography; diagnosed with @entity49 . Analysis of procoagulant factors identified the presence of lupus anticoagulant antibody. The patient received anticonvulsants and anticoagulants and was discharged eight days without sequelae. DISCUSSION: Any @entity1 presenting with @entity10 after spinal anesthesia, which intensifies after a plateau, loses its orthostatic characteristic or become too long, should undergo imaging tests to rule out more serious complications, such as @entity49 . The loss of cerebrospinal fluid leads to dilation and @entity2979 that, coupled with the traction caused by the upright position, can lead to TVC in some @entity1 with @entity558 .
