Kyu-Bok Kang; Jae-Do Lee; Min-Jeong Seo; Young-Bae Kim; Sung-Bum Park

doi:10.4184/jkss.2013.20.2.67

Journal List > J Korean Soc Spine Surg > v.20(2) > 1076014

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Kang, Lee, Seo, Kim, and Park: Huge Epidural Hematoma after Epidural Neurolysis using NaviCath®

Case Report

Journal of Korean Spine Surg 2013;20(2):67-70.

Published online: 21 June 2013

DOI: https://doi.org/10.4184/jkss.2013.20.2.67

Huge Epidural Hematoma after Epidural Neurolysis using NaviCath^®

Kyu-Bok Kang, M.D., Jae-Do Lee, M.D.^∗, Min-Jeong Seo, M.D.^†, Young-Bae Kim, M.D., Sung-Bum Park, M.D.

Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, Korea

^∗Department of Pain Clinics, Seoul Veterans Hospital, Seoul, Korea

^†Department of Radiology, Seoul Veterans Hospital, Seoul, Korea

Corresponding author: Young-Bae Kim, M.D. Department of Orthopedic Surgery, Seoul Veterans Hospital, 61gil-53 Jinhwangdo-ro, Kangdong-gu, Seoul, Korea. TEL: 82-2-2225-1358, FAX: 82-2-2225-1910 E-mail: drortho@korea.com

Received 30 June 2012 Revised 21 September 2012 Accepted 15 November 2012

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

Case report.

Objectives

To report a huge epidural hematoma after epidural neurolysis.

Summary of Literature Review

No complications have been reported regarding to hematoma formations after neurolysis using NaviCath^®.

Material and Methods

A 67-year-old male with normal serum coagulation parameter experienced excruciating back and leg pains after neurolysis using NaviCath^®.

Results

After performing prompt multilevel laminotomy with hematoma evacuation, the patient recovered from pains without any neurological sequelae.

Conclusions

It is important to be cautious while performing neurolysis with NaviCath^® to avoid the epidural hematoma. Surgical treatment is an effective option to resolve the spinal epidural hematoma.

Keywords: Nerve Block, NaviCath®, Epidural hematoma, Laminectomy

REFERENCES

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Fig. 1.

MR images before neurolysis.

Fig. 2.

Epidural neurolysis of right S1 nerve root was performed with NaviCath^® guided under fluoroscope.

Fig. 3.

Serial MR images. (A) Before neurolysis. (B) Immediate after neurolysis with epidural hematoma. Huge dorsal epidural hematoma compressing entire thecal sac (arrows) was noted in MR image. (C) 2 weeks after decompression.

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