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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Main Authors: Kouhei Iwashita, Kenji Shigematsu, Kazuo Higa, Keiichi Nitahara
Format: Article
Language:English
Published: Wiley 2014-01-01
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.
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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
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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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