Lumbar epidural hematoma following lumbar puncture: the role of high dose LMWH and late surgery. A case report

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Gurkanlar D., Acikbas C., Cengiz G. K., Tuncer R.

NEUROCIRUGIA, cilt.18, sa.1, ss.52-55, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 1
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1016/s1130-1473(07)70312-3
  • Dergi Adı: NEUROCIRUGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.52-55
  • Anahtar Kelimeler: lumbar, epidural hematoma, surgery, LMWH, myelography, SPINAL-CORD, REGIONAL ANESTHESIA, COMPRESSION, MANAGEMENT, ANALGESIA, THERAPY, HEPARIN, RISK
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Spinal epidural hematoma (SEH) is a known complication of spinal surgery, but the incidence of post-surgical SEHs that result in neurologic deficits is extremely rare (0.1%). Patients that require multilevel lumbar procedures and/or have a preoperative coagulopathy are at a significantly higher risk of developing an epidural hematoma. The introduction of higher dose of low molecular weight heparin (LMWH) twice daily 30 mg regimen) increased the reported incidence of neuroaxial hematomas. Surgery performed within 8 hours makes good or partial recovery of neurologic function.