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Jeon DG, Song JG, Kim SK, et al. Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report. Korean J Anesthesiol. 2014;66(3):240-3doi: 10.4097/kjae.2014.66.3.240.
Jeon, D. G., Song, J. G., Kim, S. K., & Kim, J. (2014). Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report. Korean journal of anesthesiology, 66(3), 240-3. https://doi.org/10.4097/kjae.2014.66.3.240
Jeon, Dae Geun, et al. "Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report." Korean journal of anesthesiology vol. 66,3 (2014): 240-3. doi: https://doi.org/10.4097/kjae.2014.66.3.240
Jeon DG, Song JG, Kim SK, Kim J. Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report. Korean J Anesthesiol. 2014 Mar;66(3):240-3. doi: 10.4097/kjae.2014.66.3.240. Epub 2014 Mar 28. PMID: 24729848; PMCID: PMC3983422.
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Korean J Anesthesiol. 2014 Mar;66(3):240-3. doi: 10.4097/kjae.2014.66.3.240. Epub 2014 Mar 28.

Epidural hematoma after thoracic epidural analgesia in a patient treated with ketorolac, mefenamic acid, and naftazone: a case report.

Korean journal of anesthesiology

Dae Geun Jeon, Jae Gyok Song, Seok-Kon Kim, Juri Kim

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.

PMID: 24729848 PMCID: PMC3983422 DOI: 10.4097/kjae.2014.66.3.240

Abstract

A 26-year-old male undergoing thoracotomy and bleeding control received a preoperative thoracic epidural for postoperative analgesia. On the fifth postoperative day, paralysis of both lower limbs occurred and urgent magnetic resonance imaging showed massive anterior epidural hematoma. During laminectomy and decompression, platelet dysfunction was diagnosed and preoperative non-steroidal anti-inflammatory drugs medications were supposed to the cause of platelet dysfunction. After infusion of ten units of platelet concentrate, coagulopathy was improved. We should be more careful to drugs with antiplatelet effect when using regional analgesia.

Keywords: Epidural hematoma; Ketorolac; Mefenamic acid; Naftazone; Platelet function

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