• J Spinal Disord · Feb 2000

    Review Case Reports

    Paraplegia after epidural anesthesia in a patient with peripheral vascular disease: case report and review of the literature with a description of an original technique for hematoma evacuation.

    • O Osmani, N Afeiche, and S Lakkis.
    • Spine and Paediatric Orthopaedics, American University of Beirut, Lebanon.
    • J Spinal Disord. 2000 Feb 1;13(1):85-7.

    AbstractEpidural hematoma after epidural anesthesia is a rare and uncommon complication in patients with peripheral vascular disease who require perioperative anticoagulation therapy. A low index of suspicion makes its diagnosis difficult and often delayed. Treatment usually involves extensive laminectomy, increasing the chances for patient complications. In this article, the authors report a case of epidural hematoma with secondary paraplegia after epidural anesthesia. Also described is an original technique for evacuating the epidural space.

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