Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter
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 neithe...
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Wiley
2014-01-01
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Series: | Case Reports in Anesthesiology |
Online Access: | http://dx.doi.org/10.1155/2014/291728 |
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author | Kouhei Iwashita Kenji Shigematsu Kazuo Higa Keiichi Nitahara |
author_facet | Kouhei Iwashita Kenji Shigematsu Kazuo Higa Keiichi Nitahara |
author_sort | Kouhei Iwashita |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-ffdd78abc355482ea28d28986bb77267 |
institution | Kabale University |
issn | 2090-6382 2090-6390 |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Anesthesiology |
spelling | doaj-art-ffdd78abc355482ea28d28986bb772672025-02-03T06:10:51ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/291728291728Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural CatheterKouhei Iwashita0Kenji Shigematsu1Kazuo Higa2Keiichi Nitahara3Department of Anesthesiology, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Anesthesiology, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Anesthesiology, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Anesthesiology, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanWe 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.http://dx.doi.org/10.1155/2014/291728 |
spellingShingle | Kouhei Iwashita Kenji Shigematsu Kazuo Higa Keiichi Nitahara Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter Case Reports in Anesthesiology |
title | Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter |
title_full | Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter |
title_fullStr | Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter |
title_full_unstemmed | Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter |
title_short | Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter |
title_sort | spontaneous recovery of paraplegia caused by spinal epidural hematoma after removal of epidural catheter |
url | http://dx.doi.org/10.1155/2014/291728 |
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