Anesthesiology&ICU

We present a 57-year-old man with ankylosing spondylitis (AS) and significant dorsal lumbar dural ectasia (diverticulum). An L5 nerve root monoradiculopathy associated with AS has not been previously reported. The quantity and extent of such ectasia is variable but may be related to cauda equina syndrome. Long-term follow-up of these cases may reveal whether or not solitary nerve lesions gradually lead to cauda equina syndrome. We recommend that asymptomatic or symptomatic patients with dural ectasia should be closely observed without need for immediate surgical intervention.

Genel anestezi ile birlikte torakal epidural anestezi uygulanarak başarılı batın operasyonları gerçekleştirildiği bilinmektedir. Sunumuzda, situs inversus totalisi olan ve laparoskopik kolesistektomi operasyonu geçirecek akut kolesistitli hastada uyguladığımız segmental torakal epidural anestezi vesilesiyle bu teknik literatür eşliğinde tartışılmıştır.