The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Quadriplegia due to Epidural Abscess following Continuous Cervical Epidural Block -A case report-

지속적 경부 경막외 차단 중 발생한 경막외 농양에 의한 사지마비 -증례 보고-

  • 이효근 (세란병원 신경통증클리닉) ;
  • 양승곤 (세란병원 신경통증클리닉) ;
  • 김지영 (세란병원 신경통증클리닉) ;
  • 채화주 (세란병원 신경통증클리닉) ;
  • 김기엽 (세란병원 신경통증클리닉) ;
  • 김찬 (세란병원 신경통증클리닉)
  • Published : 1996.06.01
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Abstract

A 45-year-old male received cervical continuous epidural block for posterior neck pain radiating to right upper extremity secondary to cervical herniated nucleus pulposus. Three days after epidural catheterization, fever, radicular pain and weakness of both upper extremities were developed. On admission, his temperature was $38.3^{\circ}C$ and showed progressive weakness and numbness in both upper and lower extremities. Cervical epidural abscess was suspected; MRI showed an epidural abscess from C4 to C7 level. Within 24 hours of admission, surgical decompression and drainage was effected. Culture of pus obtained at the lesion yielded Staphylococcus aureus. He was treated with intravenous antibiotics for 7 weeks resulting marked improvement of neurologic signs and symptoms.

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