BACKGROUND The true incidence of serious neuraxial complications such as epidural hematoma or abscess after postoperative epidural infusions is still uncertain, in part due to inconsistencies in multicenter data collection. METHODS Prospective data were collected over 16 yr from the authors' Acute Pain Service, which is based in a large tertiary teaching institution with a nonobstetric genera...

BACKGROUND Delayed epidural hematoma (DEH) following evacuation of traumatic acute subdural hematoma (ASDH) or acute epidural hematoma (EDH) is a rare but devastating complication, especially when it occurs sequentially in a single patient. CASE PRESENTATION A 19-year-old man who developed contralateral DEH following craniotomy for evacuation of a traumatic right-side ASDH and then developed ...

Epidural anesthesia is one of the preferred modes of analgesia intra- and postoperative in limb surgery. Although considered very safe, serious complications can occur with 0.1-1 per 10,000 epidural injections. We present a case of a patient who experienced an acute lumbar epidural hematoma after epidural anesthesia.

Objective: The use of endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus in the setting of aqueductal stenosis has been well established. There have been many demonstrated complications of this procedure, but epidural hematomas have rarely been reported in the literature. Case description: The authors report a case of a 16-year-old female with aqueductal stenosis, who und...

We report here on a case of a 23-year-old male who received en block spondylectomy for a vertebral Ewing's sarcoma at our hospital. Nine days after surgery, he presented with severe back pain and motor weakness of the lower extremities. Based on the physical examination and the computed tomography scan, he was diagnosed with acute cauda equina syndrome that was caused by compression from an epi...

Acute epidural hematoma is a critical emergency all around the world, and its aggressive diagnosis and treatment are of vital importance. Emergent surgical evacuation of the hematoma is known as standard management; however, conservative procedures are also used for small ones. Spontaneous rapid resolution of these hematomas has also been reported in eight pediatric cases. Various theories have...

Klíčová slova impresivní fraktura – epidurální hematom – komplikace – uchycení hlavy – bod Abstract The standard three or four-point pin fixation systems immobilizing the head are common procedure for intracranial surgery. Intraoperative epidural hematoma complicated with depressed skull fracture resulting from pin headrest is a rare but devastating complication. Early diagnosis via computed to...

2. Ganz JC. The lucid interval associated with epidural bleeding: evolving understanding. J Neurosurg. 2013;118:739-45. 3. Malik NK, Makhdoomi R, Indira B, Shankar S, Sastry K. Posterior fossa extradural hematoma: our experience and review of the literature. Surg Neurol. 2007;68:155-8. 4. Su T, Lee T, Lee T, Cheng C, Lu C. Acute Clinical Deterioration of posterior fossa epidural hematoma: Clini...