• Masui · Jan 2017

    Case Reports

    [Acute Subdural Hematoma due to the Breakage of an Epidural Catheter Left for a Long Time].

    • Tasuku Fujii, Katsunao Suzuki, Yasuyuki Shibata, and Kimitoshi Nishiwaki.
    • Masui. 2017 Jan 1; 66 (1): 65-69.

    AbstractBreakage of an epidural catheter occurs rarely dur- ing the insertion or removal procedures. In previous reports, the broken epidural catheter fragment need not be removed in asymptomatic patients. However, late-onset neurological symptoms might occur. This is a case of delayed onset subdural hematoma due to a broken epidural catheter retained in the body for 18 years. We considered that the catheter fragment might induce chronic inflammation and vascular fragil- ity around the catheter. Antiplatelet therapy might lead to the hematoma because this patient took an aspirin (antiplatelet drug) for over 9 years. Antiplatelet and anticoagulant therapies are likely to be a risk of hematoma. Thus, even without neurological symptoms, it is necessary to consider the removal of the epidural catheter fragment in patients on anti- platelet and anticoagulant therapy.

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