Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter-Reference-Cited by-同舟云学术

Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter

Published:2014 Issue: Volume:2014 Page:1-5
ISSN:2090-6382
Container-title:Case Reports in Anesthesiology
language:en
Short-container-title:Case Reports in Anesthesiology

Author:

Iwashita Kouhei¹^ORCID,Shigematsu Kenji¹^ORCID,Higa Kazuo¹^ORCID,Nitahara Keiichi¹

Affiliation:

1. Department of Anesthesiology, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan

Abstract

We report a patient who developed paraplegia caused by a spinal epidural hematoma after removal of an epidural catheter, which resolved spontaneously. A 60-year-old woman underwent thoracoscopic partial resection of the left lung under general anesthesia combined with epidural anesthesia. She neither was coagulopathic nor had received anticoagulants. Paraplegia occurred 40 minutes after removal of the epidural catheter on the first postoperative day. Magnetic resonance images revealed a spinal epidural hematoma. Surgery was not required as the paraplegia gradually improved until, within 1 hour, it had completely resolved. Hypoesthesia had completely resolved by the third postoperative day.

Publisher

Hindawi Limited

Subject

Anesthesiology and Pain Medicine

Link

http://downloads.hindawi.com/journals/cria/2014/291728.pdf

Reference15 articles.

1. Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome

2. Spontaneous complete recovery of paraplegia caused by epidural hematoma complicating epidural anesthesia: a case report and review of literature

3. Spontaneous recovery from a spinal epidural hematoma with atypical presentation in a nonagenarian

4. Conservative Treatment of Paraplegia after Removal of an Epidural Catheter during Low-molecular-weight Heparin Treatment

5. Spontaneous Resolution of Epidural Hematoma after Continuous Epidural Analgesia in a Patient without Bleeding Tendency

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