{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:43:23Z","timestamp":1787071403948,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>Neurological deficit is an uncommon but catastrophic complication of epidural anesthesia. Epidural hematomas and abscesses are the most common causes of such neurological deficit. We report the case of a patient with renal cell carcinoma with lumbar vertebral metastasis who developed paraplegia after receiving thoracic epidural anesthesia for a nephrectomy. Subsequently, on histo-pathological examination of the laminectomy specimen, the patient was found to have previously undiagnosed thoracic vertebral metastases which led to a thoracic epidural hematoma. In addition, delayed reporting of symptoms of neurological deficit by the patient may have impacted his outcome. Careful pre-operative investigation, consideration to using alternative modalities of analgesia, detailed patient counseling and stringent monitoring of patients receiving central neuraxial blockade is essential to prevent such complications.<\/jats:p>","DOI":"10.4103\/1658-354x.130751","type":"journal-article","created":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T06:27:05Z","timestamp":1397543225000},"page":"284-286","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Paraplegia following epidural analgesia: A potentially avoidable cause?"],"prefix":"10.4103","volume":"8","author":[{"given":"Jeson R.","family":"Doctor","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Ranganathan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jigeeshu V.","family":"Divatia","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250926","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1097\/01.anes.0000265160.32309.10","article-title":"A review of neuraxial epidural morbidity: Experience of more than 8,000 cases at a single teaching hospital","volume":"106","author":"Cameron","year":"2007","journal-title":"Anesthesiology"},{"key":"R2-20250926","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/bja\/aen360","article-title":"Royal College of Anaesthetists Third National Audit Project. 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