Epidural hematoma in an ambulatory surgical patient.
Epidural hematoma is a rare but potentially devastating complication of epidural anesthesia. We report a case of an epidural hematoma in an ambulatory surgical patient who received epidural anesthesia in the presence of nonsteroidal antiinflammatory drugs and low molecular weight heparin. The patient developed symptoms of an epidural hematoma after hospital discharge. An emergency decompressive laminectomy was performed, and the patient regained full motor and sensory function.
Porterfield
W R
WR
Department of Anesthesiology, University of Rochester Medical Center, NY, NY 14642, USA.
Wu
C L
CL
D000556:Ambulatory Surgical Procedures; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects; D000925:Anticoagulants / Q000009:adverse effects; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006495:Heparin, Low-Molecular-Weight / Q000009:adverse effects; D006801:Humans; D007796:Laminectomy; D008875:Middle Aged; D010149:Postoperative Pain / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight