Low Extremity Weakness after Cervical Epidural Steroid Injection in Previous Spinal Surgery Patient: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 593-597, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-150077
ABSTRACT
A 46-year-old woman received one cervical epidural injection for the management of her neck and shoulder pain. The patient was placed in the prone position without sedation. By using the "loss of resistance to injection of air" technique, the epidural space was identified at the level of C7-T1 inter-laminar space. After needle placement was confirmed by biplanar fluoroscopy and contrast dye, mixture composed of 20 mg of triamcinolone acetonide and 0.125% chirocaine (6.5 ml total volume) was injected. The patient reported no reaction or signs of spinal cord irritation during needle placement attempt. She was developed both low extremity motor weakness and the repeated MRI of the cervical spine indicated right focal cervical myelopathy. It is unknown whether the neurologic injury sustained by patient was the result of spinal cord penetration by the needle, adverse effects from neural tissue exposure to the injected drug, or a combination of both factors.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Medula Espinal
/
Doenças da Medula Espinal
/
Coluna Vertebral
/
Injeções Epidurais
/
Bupivacaína
/
Triancinolona Acetonida
/
Fluoroscopia
/
Decúbito Ventral
/
Dor de Ombro
/
Espaço Epidural
Tipo de estudo:
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2008
Tipo de documento:
Artigo
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