Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 525-528 , November 2009

Spinal epidural hematoma following epidural catheter removal in a paraplegic patient

  • Naveen Eipe, MBBS, MD (Clinical Fellow)

      Affiliations

    • Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
    • ,
  • Carlos E. Restrepo-Garces, MD (Clinical Fellow)

      Affiliations

    • Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
    • ,
  • Richard I. Aviv, MD, MRCP, FRCR (Associate Professor)

      Affiliations

    • Department of Medical Imaging, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
    • ,
  • Imad T. Awad, MBChB, FCARCSI (Assistant Professor)

      Affiliations

    • Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada M4N 3M5
    • Corresponding Author InformationCorresponding author. Tel.: +1 416 480 4864; fax: +1 416 480 6039.

Received 4 February 2008 ,Revised 29 November 2008 ,Accepted 1 December 2008.

References 

  1. Horlocker TT, Wedel DJ. Neurologic complications after spinal or epidural anesthesia. Reg Anesth Pain Med. 2000;25:83–98
  2. Horlocker TT, Wedel DJ, Benzon H, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA consensus conference on neuroaxial anesthesia). Reg Anesth Pain Med. 2003;28:172–197
  3. Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev. 2003;26:1–49
  4. Cameron CM, Scott DA, McDonald WM, Davies MJ. A review of neuraxial epidural morbidity: experience of more than 8,000 cases at a single teaching hospital. Anesthesiology. 2007;106:997–1002
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  6. Gogarten W, Van Aken H, Wulf H, Klose R, Vandermeulen E, Harenberg J. Para-spinal regional anesthesia and prevention of thromboembolism/anticoagulation. Recommendations of the German Society of Anesthesiology and Intensive Care Medicine, October 1997. Urologe A. 1998;37:347–351
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  8. Llau JV, De Andrés J, Gomar C, Gómez-Luque A, Hidalgo F, Torres LM. Anticlotting drugs and regional anaesthetic and analgesic techniques: comparative update of the safety recommendations. Eur J Anaesthesiol. 2007;24:387–398
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  11. Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous spinal subdural hematoma presenting as paraplegia: a rare case. Spine. 2007;32:619–622
  12. Kuczkowski KM. Labor analgesia for the parturient with prior spinal surgery: what does an obstetrician need to know?. Arch Gynecol Obstet. 2006;274:373–375
  13. Villevieille T, Mercier FJ, Benhamou D. Is obstetric epidural anaesthesia technically possible after spinal surgery and does it work?. Ann Fr Anesth Reanim. 2003;22:91–95
  14. Rudisch A, Kremser C, Peer S, et al. Metallic artifacts in magnetic resonance imaging of patients with spinal fusion. A comparison of implant materials and imaging sequences. Spine. 1998;23:692–699
  15. Lawton M, Porter RW, Heiserman JE, et al. Surgical management of spinal epidural hematoma: relationships between surgical time and neurological outcome. J Neurosurg. 1995;83:1–7
  16. Herbstreit F, Kienbaum P, Merguet P, et al. Conservative treatment of paraplegia after removal of an epidural catheter during low-molecular-weight heparin treatment. Anesthesiology. 2002;97:733–734
  17. Hentschel SJ, Woolfenden AR, Fairholm DJ. Resolution of spontaneous spinal epidural hematoma without surgery: report of two cases. Spine. 2001;26:525–527

PII: S0952-8180(09)00257-8

doi: 10.1016/j.jclinane.2008.12.020

Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 525-528 , November 2009

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