Case report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma

PurposeTo report a case of sudden paralysis after epidural analgesia to raise awareness of the condition and the importance of early identification and appropriate treatment of extradural venous angiomas. Clinical featuresA 28-year-old man with myofascial pain syndrome experienced paraplegia after receiving an epidural block for pain relief, which was later discovered to be caused by hemorrhage from extradural venous angiomas. Decompression surgery was performed immediately and successfully. A follow-up examination was performed 5 months after surgery. The patient reported improvement in urinary retention. The muscle strength in both his lower extremities had recovered to 4 out of 5 but still exhibited considerable residual spasticity. ConclusionsBefore administering epidural analgesia to relieve undetermined pain, it is prudent to carefully weigh potential benefits against potential risks to patient health to minimize the likelihood of complications.

Automated summary

This case report highlights the importance of early identification and appropriate treatment of extradural venous angiomas following sudden paralysis after epidural analgesia. The patient experienced paraplegia due to hemorrhage from extradural venous angiomas, but successful decompression surgery was performed immediately. After 5 months, the patient showed improvement in urinary retention and recovery of muscle strength, but residual spasticity remained. It is essential to carefully assess the potential risks and benefits before administering epidural analgesia for undetermined pain to minimize complications.