Spinal epidural hematoma and epidural analgesia

Medicolegal cases for spinal epidural hematoma and spinal epidural abscess.

Spinal epidural hematoma and spinal epidural abscess are rare surgical emergencies resulting in significant neurologic deficits. Making the diagnosis for spinal epidural hematoma and spinal epidural abscess can be challenging; however, a delay in recognition and treatment can be devastating. The objective of this retrospective analysis study was to identify risk factors for an adverse outcome f...

Spinal Epidural Hematoma

Spinal epidural hematoma (SEH) comprises a heterogeneous group of disorders with the final common result of hemorrhage in the spinal epidural space. In this review, the English language literature on SEH is examined. SEH may be acute or chronic, spontaneous, posttraumatic, or iatrogenic. Its occurrence appears to be particularly associated with acquired coagulopathy from medications and disease...

Combined spinal-epidural versus epidural labor analgesia.

BACKGROUND Despite the growing popularity of combined spinal-epidural analgesia in laboring women, the exact role of intrathecal opioids and the needle-through-needle technique remains to be determined. The authors hypothesized that anesthetic technique would have little effect on obstetric outcome or anesthetic complications. METHODS Data were prospectively collected from 2,183 laboring wome...

Spinal Epidural Analgesia

Spinal Epidural Hematoma and Gnathostomiasis

Typically, spinal gnathostomiasis is presented as radiculomyelitis. Here, we report a spinal epidural hematoma caused by Gnathostoma spinigerum. A 28-year-old man presented with acute chest pain for 1 hour. The pain was very severe, with dull aching on his left chest and toward his back. At the hospital, he developed paraplegia and sensory loss up to the T4 level. Physical examination revealed ...