Spinal Epidural Hematoma after Pain Control Procedure.
10.3340/jkns.2010.48.3.281
- Author:
Kyoung Hyup NAM
1
;
Chang Hwa CHOI
;
Moon Seok YANG
;
Dong Wan KANG
Author Information
1. Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea. chwachoi@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Spinal epidural hematoma;
Pain control procedure;
Surgical evacuation
- MeSH:
Acupuncture;
Hematoma;
Hematoma, Epidural, Spinal;
Humans;
Injections, Epidural;
Spinal Cord Compression;
Spinal Cord Diseases;
Zygapophyseal Joint
- From:Journal of Korean Neurosurgical Society
2010;48(3):281-284
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control procedures. Two procedures were facet joint blocks and the others were epidural blocks. Pain was the predominant initial symptom in these patients while two patients presented with post-procedural neurological deficits. Surgical evacuation of the hematoma was performed in two patients while in remaining two patients, surgery was initially recommended but not performed since symptoms were progressively improved. Three patients showed near complete recovery except for one patient who recovered with residual deficits. Although, spinal epidural hematoma is a rare condition, it can lead to serious complications like spinal cord compression. Therefore, it is important to be cautious while performing spinal pain control procedure to avoid such complications. Surgical treatment is an effective option to resolve the spinal epidural hematoma.
