Thoracolumbar Epidural Hematoma Complicated by Cauda Equina Syndrome : Complication of Systemic Heparinization Following Epidural Anesthesia: A case report.
- Author:
Hyung Ku YOON
;
Ho Seung JEON
;
Key Nam CHO
;
Jae Ho CHOI
- Publication Type:Case Report
- Keywords:
Spinal epidural hematoma;
Epidural anesthesia;
Anticoagulant therapy
- MeSH:
Anesthesia;
Anesthesia, Epidural*;
Catheterization;
Catheters;
Cauda Equina*;
Hematoma*;
Hematoma, Epidural, Spinal;
Heparin*;
Myocardial Infarction;
Polyradiculopathy*
- From:The Journal of the Korean Orthopaedic Association
1998;33(4):1120-1125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spinal epidural hematoma is a rare complication of epidural anesthesia and most commonly associated with intraoperative or postoperative anticoagulant administration. We describe the case of an acute thoracolumbar epidural hematoma at the T12-L4 level complicated by cauda equina syndrome, which occurred after placement of spinal epidural catheter for anesthesia and anticoagulant therapy for acute myocardial infarction developed postoperatively. In our experience, the spinal epidural catheterization and anticoagulant therapy may potentially increase the risk of epidural hematoma formation.
