[Coincidence of an epidural hematoma and epidural metastases during thoracic epidural anaesthesia].

In the present report we describe a case of epidural hematoma with paraplegia subsequent to preoperative thoracic epidural catheter insertion. The hematoma co-localized with epidural metastases unknown at the time of catheter insertion. In addition to the description of the exact interventions, the conditions enabling early diagnosis and therapy of the described complication are discussed. Furthermore, we discuss the necessity of preoperative examinations if an epidural anaesthesia is planned.