Paraplegia after epidural anesthesia in a patient with peripheral vasculardisease: Case report and review of the literature with a description of anoriginal technique for hematoma evacuation

Epidural hematoma after epidural anesthesia is a rare and uncommon complica tion in patients with peripheral vascular disease who require perioperative anticoagulation therapy. A low index of suspicion makes its diagnosis diff icult and often delayed. Treatment usually involves extensive laminectomy, increasing the chances for patient complications. In this article, the auth ors report a case of epidural hematoma with secondary paraplegia after epid ural anesthesia. Also described is an original technique for evacuating the epidural space.