Selection Spinal Anesthesia Against an Unusual Finding: A Case Report Hairy Patch

Alireza Babajani; Tina Mohebi; Mahnosh Ahmadi; Ahang Karimi

doi:10.18502/aacc.v10is2.17226

Alireza Babajani Department of Anesthesiology, Allied Medical School, Iran University of Medical Sciences, Tehran, Iran.
Tina Mohebi Nurse Anesthetist Izeh Hospital, Jundishapur University of Medical Sciences, Ahvaz, Iran.
Mahnosh Ahmadi Nurse Anesthetist Izeh Hospital, Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ahang Karimi Department of Anesthesiology, Intensive care and Pain, Shariaty Hospital, Tehran university of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/aacc.v10is2.17226

Keywords: Spinal anaesthesia; Spinal dysraphism; Spina bifida; Hairy patch

Abstract

A 34-year-old woman was admitted for an emergency cesarean section at 38 weeks of pregnancy. She had no previous surgeries or illnesses. During the pre-operative evaluation, the anesthesia team noticed that the patient had not fasted. However, they decided to use spinal anesthesia for the emergency procedure. While preparing for the spinal examination, they discovered a large mass of hair covering the 3rd, 4th, and 5th lumbar vertebrae. Despite the emergency situation, the absence of fasting, and the risk of aspiration, the anesthesia team carefully considered all aspects of the patient's safety and decided to proceed with spinal anesthesia.