Epidural hematoma in an ambulatory surgical patient

J Clin Anesth. 1997 Feb;9(1):74-7. doi: 10.1016/S0952-8180(96)00205-X.

Abstract

Epidural hematoma is a rare but potentially devastating complication of epidural anesthesia. We report a case of an epidural hematoma in an ambulatory surgical patient who received epidural anesthesia in the presence of nonsteroidal antiinflammatory drugs and low molecular weight heparin. The patient developed symptoms of an epidural hematoma after hospital discharge. An emergency decompressive laminectomy was performed, and the patient regained full motor and sensory function.

Publication types

  • Case Reports

MeSH terms

  • Ambulatory Surgical Procedures*
  • Anesthesia, Epidural / adverse effects*
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects
  • Anticoagulants / adverse effects
  • Female
  • Hematoma, Epidural, Cranial / etiology*
  • Hematoma, Epidural, Cranial / physiopathology
  • Hematoma, Epidural, Cranial / surgery
  • Heparin, Low-Molecular-Weight / adverse effects
  • Humans
  • Laminectomy
  • Middle Aged
  • Pain, Postoperative / physiopathology
  • Postoperative Complications / physiopathology*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Anticoagulants
  • Heparin, Low-Molecular-Weight