| Case report: epidural hematoma nine days after removal of a labor epidural catheter. | |
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MedLine Citation:
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PMID: 20675412 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Timely recognition and surgical decompression are crucial to minimize risk of permanent neurologic deficit from epidural hematoma. We present the case of a patient who developed acute back pain, sensory deficit, and ascending weakness 9 days after removal of a labor epidural catheter. Magnetic resonance imaging revealed a heterogeneous fluid collection extending from C6-7 through the lumbar region, with cord deformity at T9-11. Decompression laminectomy was performed within 4 hours of symptom onset. Twelve hours later, her motor function had fully recovered. Subsequent anatomic and hematologic workup was inconclusive. This presentation is atypical given the delayed presentation of symptoms after epidural placement. |
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Authors:
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Patrick J Guffey; Warren R McKay; Rachel Eshima McKay |
Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-07-30 |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 111 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2010-10-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 992-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA 94143-0648, USA. eshimar@anesthesia.ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analgesia, Epidural / adverse effects*, instrumentation Catheterization / adverse effects* Female Hematoma, Epidural, Spinal / diagnosis*, etiology*, surgery Humans Pregnancy Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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