RESUMO
We report a case of spinal epidural hematoma after removal of an epidural catheter. The patient had no background of anticoagulant therapy or coagulopathy; sudden severe back pain occurred immediately after removal of the catheter. The chance of this occurring is estimated to be between 1:150,000 and 1:190,000. We studied 40 previous reports from 1952 to 2000, and we also investigated anticoagulant therapy and pathologic states, puncture difficulties and bleeding at the point of insertion, and its onset. In 23 cases (57.5%), anticoagulant therapy had been performed, and in 5 cases (12.5%), coagulopathy or liver dysfunction had been recognized. In 20 cases (50%), the initial symptoms were recognized within 24 hours after removal of the epidural catheter. Although spinal epidural hematoma is a very rare condition, it is a serious complication of continuous epidural anesthesia.
Assuntos
Anestesia Epidural/efeitos adversos , Cateterismo/efeitos adversos , Hematoma Epidural Espinal/diagnóstico , Hematoma Epidural Espinal/etiologia , Ferimentos Penetrantes/diagnóstico , Ferimentos Penetrantes/etiologia , Idoso , Dor nas Costas/diagnóstico , Dor nas Costas/etiologia , Feminino , Hematoma Epidural Espinal/terapia , Humanos , Traumatismos da Medula Espinal/diagnóstico , Traumatismos da Medula Espinal/etiologia , Traumatismos da Medula Espinal/terapia , Ferimentos Penetrantes/terapiaRESUMO
We report on a patient with lipoma arising from flexor tenosynovium at the level of the wrist who had snapping of the middle finger and carpal tunnel syndrome. She was relieved of these symptoms after excising the lipoma.
