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Anesth Analg 2004;98:1181-1183
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000101989.54746.4E

REGIONAL ANESTHESIA

Epidural Hematoma After Spinal Anesthesia in a Patient with Undiagnosed Epidural Lymphoma

André Gottschalk, MD*, Petra Bischoff, MD*, Katrin Lamszus, MD{dagger}, and Thomas Standl, MD*

Departments of *Anesthesiology and {dagger}Neurosurgery, University Hospital Hamburg-Eppendorf, Germany

Address correspondence to André Gottschalk, MD, Department of Anesthesiology, University Hospital Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. Address email to gottschalk.andre{at}gmx.de

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.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.