Dural ectasia: a likely cause of inadequate spinal anaesthesia in two parturients with Marfan's syndrome H.J. Lacassie, S. Millar, L.G. Leithe, H.A.

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Dural ectasia: a likely cause of inadequate spinal anaesthesia in two parturients with Marfan's syndrome H.J. Lacassie, S. Millar, L.G. Leithe, H.A. Muir, R. Montaña, A. Poblete, A.S. Habib British Journal of Anaesthesia Volume 94, Issue 4, Pages 500-504 (April 2005) DOI: 10.1093/bja/aei076 Copyright © 2005 British Journal of Anaesthesia Terms and Conditions

Fig 1 Case 1. (a and b) Coronal and sagittal (respectively) CT scan images (scout images) through the thoracolumbar spine demonstrating widened spinal canal (arrows). The patient is status post right lateral fusion. (c and d) Bone and soft tissue windows respectively through the mid-lumbar spine demonstrating an enlarged canal completely filled by thecal sac. British Journal of Anaesthesia 2005 94, 500-504DOI: (10.1093/bja/aei076) Copyright © 2005 British Journal of Anaesthesia Terms and Conditions

Fig 2 Case 2. (a) Scout film from CT scan. Kyphoscoliosis of thoracolumbar spine, demonstrating widened interpedicular distance characteristic of Marfan's syndrome (arrows). CT scan through upper lumbar (b) and sacrum (c) demonstrating progressive increase in size of the spinal canal, which is filled totally by the thecal sac. British Journal of Anaesthesia 2005 94, 500-504DOI: (10.1093/bja/aei076) Copyright © 2005 British Journal of Anaesthesia Terms and Conditions