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Case Reports
. 2004 Apr;98(4):1181-1183.
doi: 10.1213/01.ANE.0000101989.54746.4E.

Epidural hematoma after spinal anesthesia in a patient with undiagnosed epidural lymphoma

André Gottschalk  1 , Petra Bischoff, Katrin Lamszus, Thomas Standl
Affiliations
Case Reports

Epidural hematoma after spinal anesthesia in a patient with undiagnosed epidural lymphoma

André Gottschalk et al. Anesth Analg. 2004 Apr.

Abstract

The incidence of hemorrhagic complications after neuroaxial anesthesia is very infrequent. We report a case of a woman developing epidural bleeding 3 wk after performing an uneventful spinal anesthesia at the lumbar level L3-4 for removal of a wire loop in her left knee. No hemostasis altering medication had been taken before and after spinal puncture. The hematoma presenting at the lumbar level L2-3 had to be removed via laminectomy. Pathological examination of the hematoma revealed a highly vascularized centroblastic non-Hodgkin's lymphoma that was not diagnosed before surgery. The patient did not develop any neurological deficits.

Implications: We report a case of a women developing epidural bleeding 3 wk after performing an uneventful spinal anesthesia for removal of a wire loop in her left knee. Pathological examination of the neurosurgically removed hematoma revealed a highly vascularized epidural centroblastic non-Hodgkin lymphoma.

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References

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