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Local Anesthetics: Clinical Application as Epidural Anesthesia

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...

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Updated: Mar 6, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

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Concurrent delayed temporal and posterior fossa epidural hematomas. Case report.

Journal of Neurosurgery

|August 1, 1983

Summary

This case study details a delayed epidural hematoma appearing in two brain compartments. Early reevaluation with computerized tomography is crucial for timely diagnosis and management of such neurological emergencies.

Area of Science:

Neurology
Neurosurgery
Radiology

Background:

Delayed epidural hematomas are rare but critical neurological events.
Understanding their presentation across different intracranial compartments is essential for effective treatment.

Observation:

A unique case of delayed epidural hematoma manifesting in two distinct intracranial compartments is presented.
The clinical course and imaging findings highlight the complexity of this condition.

Findings:

The presumptive mechanism of this delayed, multi-compartmental epidural hematoma is discussed.
Computerized tomography (CT) scans are vital for identifying the extent and location of the hematoma.

Implications:

Early and repeated neuroimaging, particularly CT, is strongly recommended for patients with suspected delayed epidural hematoma.

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