J Korean Pain Soc.
1998 May;11(1):160-164.
Spinal Epidural Hematoma Occuring after Bloody Tap During Epidural Catheter for Cancer Pain Control
- Affiliations
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- 1Department of Anesthesiology, University of Ulsan, College of Medicine, Ulsan, Korea.
- 2Department of Anesthesiology, Kang Nung Hospital, Kangnung, Korea.
Abstract
- We report a case of epidural hematoma occuring after bloody tap during epi-dural catheter for cancer pain control in thrombocytopenic patient. Two hours after epidurl puncture, patient experienced severe back pain and numbness of both legs. Following day, patient complained of motor paralysis and urinary difficulty. Diagnosis utilizing magnetic reasonance imaging, showed epidural hematoma extending from T11 to T12. Thrombocytopenia prevented surgical intervention. Therefore we restored conservative therapy with packed red cell, platelet concentration, steroid and hemostatic, which provided complete neurologic recovery, spontaneously over several days without surgical intervention.
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