2024-03-28T11:29:02Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00023223
2023-01-16T04:12:54Z
499:500:501
Delayed Onset of Subdural Hematoma following Epidural Catheter Breakage
Ishikawa, Yoshimoto
Imagama, Shiro
Ito, Zenya
Ando, Kei
Gotoh, Momokazu
Nishiwaki, Kimitoshi
Nagao, Yoshimasa
Ishiguro, Naoki
open access
CC BY-NC-ND
Study Design: Case report. Objectives: To describe a case of delayed-onset spinal hematoma following the breakage of a spinal epidural catheter. Methods: The authors describe the clinical case review. Results: A 64-year-old woman had undergone epidural anesthesia 18 years before she was referred to our hospital because of lower-back pain and lower neurologic deficit with leg pain. The clinical examination showed the presence of a fragment of an epidural catheter in the thoracolumbar canal, as assessed by computed tomography, and a spinal hematoma that compressed the spinal cord at the same spinal level, as assessed by magnetic resonance imaging. Surgical removal of the epidural catheter and decompression surgery were performed. The patient exhibited substantial clinical improvement 1 month after surgery; she achieved a steady gait without the need for a cane and had no leg pain. Conclusion: This is the first report of delayed onset of spinal hematoma following the breakage of an epidural catheter. Generally, when the breakage of an epidural catheter occurs without symptoms, follow-up alone is recommended. However, because spinal hematoma might exhibit a late onset, the possibility of this complication should be considered when deciding whether to remove the catheter fragment. We believe that in our patient, there could be a relationship between the catheter fragment and subdural hematoma, and catheter breakage could have been a risk factor for the spinal hematoma.
Georg Thieme Verlag
2016-02
eng
journal article
VoR
http://hdl.handle.net/2237/25417
https://nagoya.repo.nii.ac.jp/records/23223
https://doi.org/10.1055/s-0035-1549030
2192-5682
Global Spine Journal
6
1
1
6
https://nagoya.repo.nii.ac.jp/record/23223/files/s-0035-1549030.pdf
application/pdf
403.5 kB
2018-02-22