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KMID : 0356920070530050660
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Korean Journal of Anesthesiology
2007 Volume.53 No. 5 p.660 ~ p.663
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Epidural Hemorrhage Following Lumbar Epidural Block in LBP Patient without Coagulopathy
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Kim Sang-Hun
Lim Kyung-Joon
Yang In-Ho
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Abstract
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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. (Korean J Anesthesiol 2007; 53: 660∼3)
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KEYWORD
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coagulopathy, epidural block, epidural hemorrhage
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