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Self-Limited Spinal Subarachnoid Hemorrhage After Lumbar Spinal Drain Removal While on Clopidogrel: A Case Report

Aboumerhi, Hassan MD*; Elmofty, Dalia H. MD

doi: 10.1213/XAA.0000000000001104
Case Reports

Spinal subarachnoid hemorrhage (SSH) is a rare yet potentially devastating complication of neuraxial procedures. We present a case of SSH after inadvertent lumbar spinal drain removal while on clopidogrel. The contrast between the patient’s mild clinical symptoms compared to his impressive magnetic resonance imaging (MRI) highlights the variable presentations that can be seen with spinal and epidural hematomas. Despite sophisticated electronic warnings systems available to improve patient safety, better efforts are needed to improve interprofessional communication with providers taking care of patients with indwelling neuraxial catheters.

From the *Department of Anesthesiology, Northwestern Memorial Hospital, Chicago, Illinois;

Department of Anesthesiology, University of Chicago, Chicago, Illinois.

Accepted for publication August 26, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Dalia H. Elmofty, MD, Department of Anesthesiology, University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
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