introduction: traumatic brain injury is considered as the major cause of mortality and hospitalization of about ten million people across the globe. most of these patients are young and active people suffering disabilities. tranexamic acid (txa) therapy is commonly used to reduce blood loss and need for blood transfusions in surgical cases. this study aimed at investigating the effect of tranex...

BACKGROUND Traumatic placement of a needle during a neuraxial blockade has been related to many complications such as postdural puncture headache, trauma to neural structures and even spinal hematoma, causing permanent neurologic deficits. Although efforts to minimize the complications caused by traumatic neuraxial blockade have been made, nothing was found to be clear. The authors investigated...

1. Giebler RM, Scherer RU, Peters J. Incidence of neurologic complications related to thoracic epidural catheterization. Anesthesiology 1997;86:5563. 2. Miyazaki M, Takasita M, Matsumoto H, Sonoda H, Tsumura H, Torisu T. Spinal epidural hematoma after removal of an epidural catheter: Case report and review of the literature. J Spinal Disord Tech 2005;18:54751. 3. Lawton MT, Porter RW, Heiserman...

An acute spinal epid ural hematoma is a neurosurgical emergency. If a prompt diagnosis is not made and decompression not undertaken shortly after the onset of symptoms, neurologic deficits are usually irreversible and death often ensues [1 -6]. Although early recog nition of this condition is possible with high-reso lution computed tomography (CT) because the hematoma may be directly visuali ze...

Complete thoracolumbar trauma evaluation incorporates radiographs, computed tomography, and magnetic resonance imaging. Primarily to localize the level of injury, diagnosis of thoracolumbar spine trauma begins with radiographs. Computed tomography with sagittal reformatted images is more sensitive for identifying the full extent of injury and the degree of involvement of the bony posterior elem...

Radulović D, Janošević V, Rakić M, Đurović B, Slavik E, Lakićević N. Vojnosanit Pregl 2005; 62(9): 679–682. DELAYED EPIDURAL HEMATOMA AFTER MILD HEAD INJURY Background. Traumatic delayed epidural hematoma (DEH) can be defined as insignificant or not seen on the initial CT scan performed after a trauma but seen on the subsequent CT scan as a “massive” epidural bleeding. Case report. We presented...

BACKGROUND There are few reported cases of an epidural spinal hematoma following interventional pain procedures. CASE DESCRIPTION We report a case of a spinal epidural hematoma in a patient with no known risk factors (e.g. coagulopathy), who underwent an epidural steroid injection (ESI) in the same anatomic location as two previously successful ESI procedures. CONCLUSION Early detection was...

RATIONALE Caudal epidural injection is one of the conventional treatments of chronic back pain. Even though spinal epidural hematoma after caudal epidural injection is rare but it can cause serious neurologic complication. PATIENT CONCERNS An 83-year-old woman taking cilostazol received caudal epidural steroid injection because of her chronic back pain. Six hours later, she experienced an acu...

Study Design Case report. Objective We present the first reported case of spontaneous spinal epidural hematoma secondary to calcium pyrophosphate crystal deposition disease (pseudogout) in a 75-year-old woman. Methods A retrospective review of the patient's case notes was undertaken and the limited literature on this subject reviewed. Results This patient presented with sudden-onset lower limb ...