J Korean Pain Soc.  1997 May;10(1):127-130.

Epidural Hematoma following Continuous Epidural Catheterization for Postherpetic Neuralgia

Affiliations
  • 1Department of Anesthesiology, Pain Clinic, College of Medicine, WonKwang University, Iksan, Korea.

Abstract

A 67-year old man with a history of cardiac disease underwent epidural catheterization for pain control of postherpetic neuralgia. Patient had severe back pain and pus discharge at catheter insertion site after dischange from medical part. Patient received anticoagulant therapy with AspirinR and. CoumadinR prescribed for 15 days in medical part. Magnetic resonance imaging (MRI) showed a diffuse T4-7 anterior epidural mass compressing the spinal cord. Emergency surgical exploration revealed a thoracic epidural hematoma without abcess fotmation. Operation was successful and patient recovered satisfactory without any sequelae.

Keyword

Complications, anticoagulant, epidural hematoma

MeSH Terms

Aged
Back Pain
Catheterization*
Catheters*
Emergencies
Heart Diseases
Hematoma*
Humans
Magnetic Resonance Imaging
Neuralgia, Postherpetic*
Spinal Cord
Suppuration
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