SURGICALLY TREATED PARAPLEGIA AS A RESULT OF EPIDURAL HEMATOMA ASSOCIATED WITH EPIDURAL CATHETER REMOVAL IN A PATIENT RECEIVING ENOXAPARIN
Journal Title: Journal of Turkish Spinal Surgery - Year 2008, Vol 19, Issue 1
Abstract
The spinal hematoma, defined as symptomatic bleeding within the spinal neuraxis, is a rare and potentially catastrophic complication of spinal or epidural anesthesia. Spinal hematoma reveals itself with the signs of cord compression. In the case of spinal cord compression, laminectomy seems to be effective in reversing spinal ischemia if performed within the first eight hours. We report a case of epidural hematoma formation after the removal of the lumbar epidural catheter in a patient who underwent total knee replacement surgery and commenced to receive low-molecular-weight heparin (LMWH) postoperatively for thromboembolic prophylaxis.
Authors and Affiliations
Erhan SESLİ, Halit OZYALCIN, Anıl Murat ÖZTÜRK, Elcil KAYA, Seyithan CETİNKAYA
Keywords
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