Surgically treated paraplegia as a result of epidural hematoma associated with epidural catheter removal in a patient receiving Enoxaparin
Makaleler > Vaka Takdimi · 2008
Yazarlar: Erhan Sesli, Halit Özyalçın, Anıl Murat ÖZTÜRK, Melekper Elcil KAYA BİÇER, Çetinkaya Seyithan
Journal of Turkish Spinal Surgery, Diğer Kurumların Hakemli Dergileri, Ulusal, TR Dizin (Ulakbim), 2008, cilt 19, ss 39-46
Özet
<p>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 lowmolecular-weight heparin (LMWH) postoperatively for thromboembolic prophylaxis. <br></p>