Abstract | OBJECTIVE: CASE REPORT: A 73-year-old woman with postlaminectomy pain syndrome and lumbar radiculopathy underwent percutaneous spinal cord stimulator lead placement. She had been taking aspirin 81 mg/d for several years. Twenty-four hours later, she developed an epidural hematoma. Prompt recognition and surgical management resulted in no long-term neurological sequelae. CONCLUSIONS: The only variable that could have led to our patient's epidural hematoma is aspirin. This is the first reported case of aspirin leading to an epidural hematoma following an interventional chronic pain procedure. Prior to interventional pain procedures, one should contemplate cessation of aspirin therapy because there are, at present, no consensus guidelines to direct such a decision.
|
Authors | Asokumar Buvanendran, Adam C Young |
Journal | Regional anesthesia and pain medicine
(Reg Anesth Pain Med)
2014 Jan-Feb
Vol. 39
Issue 1
Pg. 70-2
ISSN: 1532-8651 [Electronic] England |
PMID | 24310047
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
|
Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
- Aspirin
|
Topics |
- Aged
- Anti-Inflammatory Agents, Non-Steroidal
(adverse effects)
- Aspirin
(adverse effects)
- Clinical Trials as Topic
- Female
- Hematoma, Epidural, Spinal
(chemically induced, diagnostic imaging, surgery)
- Humans
- Radiography
- Spinal Cord Stimulation
(adverse effects, instrumentation)
|