[A case of spinal extradural hematoma during the insertion of an epidural catheter].
An epidural haematoma was observed after epidural lumbar puncture in a 75-year old patient receiving 5,000 units calcium heparinate every 12 h as antithrombotic therapy. The diagnosis was suspected by the occurrence of sudden pain and bleeding through the epidural catheter, followed by a complete paraplegia. The diagnosis was confirmed by contrast myelography. Early surgery did not improve the neurological deficit. This case report emphasized that anticoagulant therapy must be discontinued before epidural anaesthesia.
D000368:Aged; D001780:Blood Coagulation Tests; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004630:Emergencies; D004824:Epidural Space; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000150:complications / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007796:Laminectomy; D010264:Paraplegia / Q000209:etiology; D013927:Thrombosis / Q000517:prevention & control
C006871:calcium heparin; D006493:Heparin
Un cas d'hématome extradural rachidien au cours de la mise en place d'un cathéter péridural.