Spinal epidural hematoma following epidural catheter removal in a paraplegic patient.
Spinal epidural hematoma is a rare and devastating complication of epidural catheter removal in an anticoagulated patient. The diagnosis could be quite challenging, especially in patients with preexisting neurological deficits. A 35-year-old patient with remote spinal cord injury and T4 level paraplegia developed a spinal epidural hematoma on the 7th postoperative day. The hematoma developed after epidural catheter removal with concurrent administration of unfractionated heparin.
Eipe
Naveen
N
Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Restrepo-Garces
Carlos E
CE
Aviv
Richard I
RI
Awad
Imad T
IT
D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects; D004824:Epidural Space / Q000473:pathology; D005340:Fibrinogen / Q000378:metabolism; D046748:Hematoma, Epidural, Spinal / Q000209:etiology* / Q000473:pathology / Q000628:therapy*; D006493:Heparin / Q000009:adverse effects; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000150:complications*; D010976:Platelet Count; D001750:Urinary Bladder, Neurogenic / Q000601:surgery
D000925:Anticoagulants; D005340:Fibrinogen; D006493:Heparin