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Thoracic extradural haematoma after epidural anaesthesia.

Research paper by Paolo P Perrini, Francesco F Pieri, Nicola N Montemurro, Giacomo G Tiezzi, Giuliano Francesco GF Parenti

Indexed on: 07 Oct '09Published on: 07 Oct '09Published in: Neurological Sciences



Abstract

The administration of analgesics to the thoracic spine is established practice in the operating room, minimizing the need for systemic anaesthetic administration during thoracic surgery. Complications arising from thoracic epidural anaesthesia are uncommon but potentially disastrous. Here, we report the case of a 43-year-old woman who developed a thoracic epidural haematoma with paraplegia a few hours after the removal of an epidural catheter. The patient underwent emergency thoracic laminectomy and clot evacuation. After a 4 months period, there was almost complete neurological recovery. Epidural haematoma is a rare complication that must be heeded and urgently treated in case of clinical deterioration after the epidural analgesia.