혈액응고장애가 없는 요통 환자에서 요부 경막외 신경차단술 후 발생한 급성 경막외 출혈

혈액응고장애가 없는 요통 환자에서 요부 경막외 신경차단술 후 발생한 급성 경막외 출혈

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. D...

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Bibliographic Details
Published in:Korean journal of anesthesiology Vol. 53; no. 5; pp. 660 - 663
Main Authors: 김상훈, Sang Hun Kim, 임경준, Kyung Joon Lim, 양인호, In Ho Yang
Format: Journal Article
Language:Korean
Published: 대한마취통증의학회(구 대한마취과학회) 30-11-2007
대한마취통증의학회
Subjects:
coagulopathy
epidural block
epidural hemorrhage
마취과학
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Summary: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. KCI Citation Count: 0
Bibliography:The Korean Society of Anesthesiologists
G704-000679.2007.53.5.014
ISSN:2005-6419
2005-7563