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Epidural Hematoma Associated with Red Clover Use After Epidural Injection: A Case Report
Juan E Puerta-Botero1, Santiago Jaramillo2, Carlos E Restrepo-Garcés3
1Pelvic Pain Unit, UROGINE, Medellin, Colombia.
Epidural hematoma is a rare complication of pain procedures. Red clover consumption may impair platelet aggregation, increasing the risk of this serious condition.
Area of Science:
- Anesthesiology
- Neurology
- Pharmacology
Background:
- Epidural hematoma is a rare but severe complication following interventional pain procedures.
- Potential causes include anatomical variations, coagulation disorders, and anticoagulant/antiplatelet use.
- Herbal medicine consumption is an underrecognized factor affecting coagulation.
Observation:
- A patient developed an epidural hematoma after a cervical epidural block.
- The patient reported daily consumption of red clover.
Findings:
- Red clover consumption may negatively impact platelet aggregation.
- This effect could contribute to the development of epidural hematoma in susceptible individuals.
Implications:
- Clinicians should inquire about herbal medicine use, including red clover, in patients undergoing interventional pain procedures.
- Awareness of red clover's potential antiplatelet effects is crucial for preventing epidural hematoma.
- Further research is warranted to elucidate the specific mechanisms and clinical significance of red clover on coagulation.
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