Paraplegia after epidural anesthesia in a patient with peripheral vascular disease: case report and review of the literature with a description of an original technique for hematoma evacuation.
Epidural hematoma after epidural anesthesia is a rare and uncommon complication in patients with peripheral vascular disease who require perioperative anticoagulation therapy. A low index of suspicion makes its diagnosis difficult and often delayed. Treatment usually involves extensive laminectomy, increasing the chances for patient complications. In this article, the authors report a case of epidural hematoma with secondary paraplegia after epidural anesthesia. Also described is an original technique for evacuating the epidural space.
Osmani
O
O
Spine and Paediatric Orthopaedics, American University of Beirut, Lebanon.
Afeiche
N
N
Lakkis
S
S
D000368:Aged; D000369:Aged, 80 and over; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D004322:Drainage; D004824:Epidural Space; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D010264:Paraplegia / Q000209:etiology*; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000379:methods