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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Autores principales: Iwashita, Kouhei, Shigematsu, Kenji, Higa, Kazuo, Nitahara, Keiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026846/
https://www.ncbi.nlm.nih.gov/pubmed/24876976
http://dx.doi.org/10.1155/2014/291728
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author Iwashita, Kouhei
Shigematsu, Kenji
Higa, Kazuo
Nitahara, Keiichi
author_facet Iwashita, Kouhei
Shigematsu, Kenji
Higa, Kazuo
Nitahara, Keiichi
author_sort Iwashita, Kouhei
collection PubMed
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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spelling pubmed-40268462014-05-29 Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter Iwashita, Kouhei Shigematsu, Kenji Higa, Kazuo Nitahara, Keiichi Case Rep Anesthesiol Case Report 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. Hindawi Publishing Corporation 2014 2014-05-05 /pmc/articles/PMC4026846/ /pubmed/24876976 http://dx.doi.org/10.1155/2014/291728 Text en Copyright © 2014 Kouhei Iwashita et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Iwashita, Kouhei
Shigematsu, Kenji
Higa, Kazuo
Nitahara, Keiichi
Spontaneous Recovery of Paraplegia Caused by Spinal Epidural Hematoma after Removal of Epidural Catheter
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026846/
https://www.ncbi.nlm.nih.gov/pubmed/24876976
http://dx.doi.org/10.1155/2014/291728
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