title: Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report.
abstract: A 26-year-old male undergoing thoracotomy and bleeding control received a preoperative thoracic epidural for postoperative analgesia. On the fifth postoperative day, paralysis of both lower limbs occurred and urgent magnetic resonance imaging showed massive anterior epidural hematoma. During laminectomy and decompression, platelet dysfunction was diagnosed and preoperative non-steroidal anti-inflammatory drugs medications were supposed to the cause of platelet dysfunction. After infusion of ten units of platelet concentrate, coagulopathy was improved. We should be more careful to drugs with antiplatelet effect when using regional analgesia.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Dae Geun
authors.initials: DG
authors.lastname: Jeon
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Jae Gyok
authors.initials: JG
authors.lastname: Song
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Seok-Kon
authors.initials: SK
authors.lastname: Kim
authors.affiliation: Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
authors.forename: Juri
authors.initials: J
authors.lastname: Kim
keywords: Epidural hematoma; Ketorolac; Mefenamic acid; Naftazone; Platelet function
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