Key result
A patient on thromboprophylaxis with enoxaparin developed paraparesis and complete sensory loss due to spinal haematomas after attempted epidural and subsequent spinal anaesthesia.
Population
A patient on thromboprophylaxis with the low molecular weight heparin (LMWH) enoxaparin
Design
Case_report
Follow-up
>40 hours
Authors
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Spinal hematoma risk warrants ongoing caution with neuraxial blocks on LMWH; case reports leave optimal timing and protocols open.
Case Report (n=1)
Highlights a rare but severe complication of spinal haematoma following neuraxial anesthesia in a patient receiving LMWH thromboprophylaxis.
Sternlo et al. (1995) conducted a case report in Spinal subdural bleeding (n=1). Enoxaparin (low molecular weight heparin) and epidural/spinal anaesthesia was evaluated on Spinal haematoma and paraparesis. A patient on thromboprophylaxis with enoxaparin developed paraparesis and complete sensory loss due to spinal haematomas after attempted epidural and subsequent spinal anaesthesia.
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