| Epidural Hemorrhage Following Lumbar Epidural Block in LBP Patient without Coagulopathy: A case report. |
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Sang Hun Kim, Kyung Joon Lim, In Ho Yang |
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Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University, Gwangju, Korea. kjlim@chosun.ac.kr |
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| Abstract |
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A 61-year old woman without the history of unusual bleeding diasthesis underwent epidural blockade for the relief of lower back pain (LBP). One hour after the epidural block, patient complained of progressive lower back pain and developed depressed dorsiflexion (Grade 0) of great toe in both feet. Diagnosis utilizing magnetic resonance imaging, showed epidural hemorrhage extending from T6 to S1. A neurosurgery consult obtained, and emergent decompressive laminectomy with hematoma evacuation was performed.
Operation was successful and patient recovered satisfactory without any sequelae. |
| Key Words:
coagulopathy; epidural block; epidural hemorrhage |
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