Korean J Anesthesiol.  2010 Aug;59(2):119-122. 10.4097/kjae.2010.59.2.119.

Spinal epidural hematoma after epidural anesthesia in a patient receiving enoxaparin: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. anes36@catholic.ac.kr

Abstract

Spinal epidural hematoma is a rare but serious neurological complication of neuraxial anesthesia. Enoxaparin sodium is a low molecular weight heparin (LMWH) for use in preventing deep venous thrombosis in patients undergoing total hip arthroplasty and total knee arthroplasty. Hemorrhage is an uncommon but documented adverse reaction when using LMWH. We report a case of epidural hematoma after lumbar epidural anesthesia in a patient who administered enoxaparin in perioperative period.

Keyword

Enoxaparin; Epidural anesthesia; Spinal epidural hematoma

MeSH Terms

Anesthesia
Anesthesia, Epidural
Arthroplasty
Enoxaparin
Hematoma
Hematoma, Epidural, Spinal
Hemorrhage
Heparin, Low-Molecular-Weight
Hip
Humans
Knee
Perioperative Period
Sodium
Venous Thrombosis
Enoxaparin
Heparin, Low-Molecular-Weight
Sodium
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