J Korean Pain Soc.
1996 Jun;9(1):271-274.
Epidural Hematoma following Continuous Epidural Analgesia in Patient Receiving Anticoagulant Therapy: A case report
- Affiliations
-
- 1Department of Anesthesiology, Pain Clinic, College of Medicine, Chonnam National University, Kwanju, Korea.
Abstract
- Epidural hematoma during anticoagulant therapy is a rare complication of central neural blockade, but it may result in serious neurologic sequelae. A 61-year-old male receiving warfarin due to heart failure was referred to the pain clinic for control of severe herpetic neuralgia. Epidural catheterization was done at T,, interspace. At that time, PT and aPTT were extremely prolonged. The next morning, severe back pain, motor paralysis and urinary difficulty developed. On spine MRI, epidural hematoma was detected at T8-9, interspace. Four days later, he died due to underlying diseases. Central neural blockade in patient with anticoagulant therapy is contraindicated in most cases. If it is undertaken, close observation of patients neurologic functions and monitoring of coagulation profiles (PT, aPTT, etc) are necessary. If epidural hematoma develops, early surgical decompression is mandatory.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Thoracolumbar Epidural Hematoma Complicated by Cauda Equina Syndrome : Complication of Systemic Heparinization Following Epidural Anesthesia: A case report
- The Breakage of Epidural Catheter during Continuous Epidural Analgesia for Cancer Pain: A case report
- Chronic Spinal Epidural Abscess after Epidural Analgesia: Case Report
- Epidural Hematoma after Epidural Catheterization without Coagulopathy: A case report
- Acute Bacterial Meningitis after Continuous Epidural Analgesia: A case report
