J Korean Soc Spine Surg.  2013 Jun;20(2):67-70. 10.4184/jkss.2013.20.2.67.

Huge Epidural Hematoma after Epidural Neurolysis using NaviCath(R)

• Kang KB
• Lee JD
• Seo MJ
• Kim YB
• Park SB

• KMID: 1430378
• DOI: http://doi.org/10.4184/jkss.2013.20.2.67

Abstract

STUDY DESIGN: Case report.
OBJECTIVES
To report a huge epidural hematoma after epidural neurolysis. SUMMARY OF LITERATURE REVIEW: No complications have been reported regarding to hematoma formations after neurolysis using NaviCath(R). MATERIAL AND METHODS: A 67-year-old male with normal serum coagulation parameter experienced excruciating back and leg pains after neurolysis using NaviCath(R).
RESULTS
After performing prompt multilevel laminotomy with hematoma evacuation, the patient recovered from pains without any neurological sequelae.
CONCLUSIONS
It is important to be cautious while performing neurolysis with NaviCath(R) to avoid the epidural hematoma. Surgical treatment is an effective option to resolve the spinal epidural hematoma.

Keyword

Nerve Block; NaviCath(R); Epidural hematoma; Laminectomy

MeSH Terms

Hematoma
Hematoma, Epidural, Spinal
Humans
Laminectomy
Leg
Male
Nerve Block

Figure

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  Fig. 1. MR images before neurolysis.

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  Fig. 2. Epidural neurolysis of right S1 nerve root was performed with NaviCath® guided under fluoroscope.

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  Fig. 3. Serial MR images. (A) Before neurolysis. (B) Immediate after neurolysis with epidural hematoma. Huge dorsal epidural hematoma compressing entire thecal sac (arrows) was noted in MR image. (C) 2 weeks after decompression.

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