Case Report. 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

Osmani, Omar; Afeiche, Nadim; Lakkis, Suheil

doi:10.1097/00002517-200002000-00016

Cited by 11 publications

(4 citation statements)

References 16 publications

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“…Son traitement repose sur la réalisation en urgence, dans les six premières heures, d'une décompression médullaire chirurgicale en cas de déficit moteur lourd avec signes de compression et souffrance médullaire à l'IRM [3]. …”

Section: Discussionunclassified

Hématome sous dural dorsal compliquant une anesthésie péridurale en chirurgie vasculaire

Elahmadi¹,

Awab²,

Moussaoui³

et al. 2014

Pan Afr Med J

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L'hématome péri médullaire est une complication rare, parfois invalidante de l'anesthésie péridurale. Il survient au décours d'une ponction difficile ou traumatique ou après une mauvaise gestion des anticoagulants. Son diagnostic est difficile parfois retardé. L'imagerie par résonance magnétique reste l'examen de choix. Le traitement est essentiellement chirurgical. Le pronostic dépend de l'importance de l'hématome et des lésions sous jacentes. Nous rapportons l'observation d'un hématome sous dural dorsal, compliquant une anesthésie péridurale en postopératoire d'un pontage aorto-bi fémoral, pour anévrysme de l'aorte abdominal sous rénale.

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Section: Discussionunclassified

Hématome sous dural dorsal compliquant une anesthésie péridurale en chirurgie vasculaire

Elahmadi¹,

Awab²,

Moussaoui³

et al. 2014

Pan Afr Med J

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“…COX-2 inhibitors can augment the effects of coumadin ( 5). An epidural hematoma occurred in a patient that received aspirin and dipyridamole, followed by systemic heparinization; the heparin was held for 3 hours before and 2 hours after catheter removal (280). High dose ibuprofen consumption and perioperative administration of low molecular weight heparin have been implicated in the development of an epidural hematoma following epidural catheterization (281).…”

Section: Multiple Agentsmentioning

confidence: 99%

Bleeding Risk in Interventional Pain Practice: Assessment, Management, and Review of the Literature

Raj¹

2004

Pain Phys

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“…Neural trauma is a potential complication, even though there are no such case reports. Subdural injection, neural trauma, injury to the spinal cord, and hematoma formation have been described with epidural injections, even though there are no specific descriptions relating to spinal endoscopy (285)(286)(287)(288)(289). Spinal gas collection and subdural intracranial air were also reported following epidural injections (290)(291)(292).…”

Section: Complicationsmentioning

confidence: 99%

“…Epidural hematoma following epidural analgesia in a patient receiving unfractionated heparin for thromboprophylaxis (288) and paraplegia after epidural anesthesia in a patient with peripheral vascular disease with the development of hematoma (289) have been reported. Cauda equina syndrome secondary to idiopathic spinal epidural lipomatosis also has been reported (300).…”

Section: Complicationsmentioning

confidence: 99%

Spinal Endoscopy and Lysis of Epidural Adhesions in the Management of Chronic Low Back Pain

Manchikanti

Saini²,

Singh³

2001

Pain Phys

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Spinal endoscopy with epidural adhesiolysis is an interventional pain management technique which emerged during the 1990s. It is an invasive but important treatment modality in managing chronic low back pain that is nonresponsive to other modalities of treatment, including percutaneous spring guided adhesiolysis and transforaminal epidural injections. While epidural adhesions most commonly result following surgical intervention of the spine, leakage of disc material into the epidural space following an anular tear, or an inflammatory response can also result in their formation. Even though advanced technology, including computerized tomography and magnetic resonance imaging, have made significant advances in the diagnosis of epidural fibrosis, it is believed that epidural adhesions resulting in chronic persistent pain are poorly managed.Percutaneous endoscopic lysis of epidural scar tissue has been shown to be cost effective and a safe modality. This review discusses various aspects of endoscopic adhesiolysis, including clinical effectiveness, complications, rationale, and indications.

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Case Report. 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

Cited by 11 publications

References 16 publications

Hématome sous dural dorsal compliquant une anesthésie péridurale en chirurgie vasculaire

Hématome sous dural dorsal compliquant une anesthésie péridurale en chirurgie vasculaire

Bleeding Risk in Interventional Pain Practice: Assessment, Management, and Review of the Literature

Spinal Endoscopy and Lysis of Epidural Adhesions in the Management of Chronic Low Back Pain

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