Department of Anesthesiology

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Spinal epidural hematoma occurrence in the absence of known risk factors: a case series.

TitleSpinal epidural hematoma occurrence in the absence of known risk factors: a case series.
Publication TypeJournal Article
Year of Publication2004
AuthorsCullen DJ, Bogdanov E, Htut N
JournalJ Clin Anesth
Volume16
Issue5
Pagination376-81
Date Published2004 Aug
ISSN0952-8180
KeywordsAdult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Hematoma, Epidural, Spinal, Humans, Incidence, Male, Middle Aged, Risk Factors
Abstract

Spinal epidural hematoma in the absence of coagulopathy or anticoagulation therapy is an extremely rare occurrence, with a reported incidence of less than 1 in 1 million. We present seven cases of documented epidural hematoma in the absence of coagulopathy or anticoagulation therapy to alert the clinician to consider spinal or epidural hematoma when suspicious signs and symptoms are present after neuraxial block in the absence of coagulopathy or anticoagulation therapy. The need for immediate diagnosis and therapy is emphasized as the only potential for meaningful recovery.

DOI10.1016/j.jclinane.2003.12.007
Alternate JournalJ Clin Anesth
PubMed ID15374560