Korean J Anesthesiol.  2007 Nov;53(5):660-663. 10.4097/kjae.2007.53.5.660.

Epidural Hemorrhage Following Lumbar Epidural Block in LBP Patient without Coagulopathy: A case report

• Kim SH
• Lim KJ
• Yang IH

• KMID: 1937384
• DOI: http://doi.org/10.4097/kjae.2007.53.5.660

Abstract

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.

Keyword

coagulopathy; epidural block; epidural hemorrhage

MeSH Terms

Diagnosis
Female
Foot
Hematoma
Hemorrhage*
Humans
Laminectomy
Low Back Pain
Magnetic Resonance Imaging
Middle Aged
Neurosurgery
Toes