대상포진후 신경통 치료를 위한 지속적 경막외 차단후 발생한 경막외 혈종 -증례 보고-

Epidural Hematoma following Continuous Epidural Catheterization for Postherpetic Neuralgia -A case report-

  • 조동규 (원광대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 이강창 (원광대학교 의과대학 마취과학교실 및 통증치료실) ;
  • 김태요 (원광대학교 의과대학 마취과학교실 및 통증치료실)
  • Cho, Dong-Kyu (Department of Anesthesiology, Pain Clinic, College of Medicine, WonKwang University) ;
  • Lee, Kang-Chang (Department of Anesthesiology, Pain Clinic, College of Medicine, WonKwang University) ;
  • Kim, Tai-Yo (Department of Anesthesiology, Pain Clinic, College of Medicine, WonKwang University)
  • 발행 : 1997.05.31

초록

A 67-year old man with a history of cardiac disease underwent epidural catheterization for pain control of postherpetic neuralgia. Patient had severe back pain and pus discharge at catheter insertion site after dischange from medical part. Patient received anticoagulant therapy with $Aspirin^{(R)}$ and $Coumadin^{(R)}$ prescribed for 15 days in medical part. Magnetic resonance imaging(MRI) showed a diffuse $T_{4-7}$ anterior epidural mass compressing the spinal cord. Emergency surgical exploration revealed a thoracic epidural hematoma without abcess formation. Operation was successful and patient recovered satisfactory without any sequelae.

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