Pain Management, McMaster University, Ontario, Canada.
Anaesthesia. 2011 Sep;66(9):837-9. doi: 10.1111/j.1365-2044.2011.06770.x. Epub 2011 Jul 25.
Extradural haematoma is a rare but known complication of neuraxial procedures. Although the literature quotes an incidence of 1:150,000 and 1:220,000 after epidural and spinal procedures, respectively, there is only a limited number of case reports described in pain practice. This case report describes an unusual occurrence of thoracic extradural haematoma following a lumbar epidural steroid injection. An entirely unique feature was its occurrence at a level distant to the site of injection, which has not been reported previously unless associated with catheterisation. We would like to highlight this report as it raises several pertinent and challenging questions; both for regional anaesthesia and pain practice.
硬膜外血肿是椎管内操作的罕见但已知的并发症。尽管文献报道硬膜外和脊髓分别为 1:150,000 和 1:220,000，但在疼痛实践中仅描述了有限数量的病例报告。本病例报告描述了一例腰椎硬膜外类固醇注射后罕见的胸段硬膜外血肿。一个完全独特的特征是其发生在远离注射部位的水平，以前除非与导管插入相关，否则未报道过这种情况。我们希望强调这一报告，因为它提出了几个相关的和具有挑战性的问题；既适用于区域麻醉，也适用于疼痛实践。
