The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Spinal Epidural Hematoma Occuring after Bloody Tap during Epidural Catheter for Cancer Pain Control -A case report-

암성통증치료를 위한 경막외카테테르 거치술중 혈성천자로 발생한 경막외혈종 -증례 보고-

  • Woo, Sung-Chang (Department of Anesthesiology, University of Ulsan, College of Medicine) ;
  • Cha, Dong-Suk (Department of Anesthesiology, University of Ulsan, College of Medicine) ;
  • Kang, Keon (Department of Anesthesiology, University of Ulsan, College of Medicine) ;
  • Kim, Young-Ki (Kang Nung Hospital)
  • 우성창 (울산대학교 의과대학) ;
  • 차동석 (울산대학교 의과대학) ;
  • 강건 (울산대학교 의과대학) ;
  • 김영기 (강릉병원 마취과학교실)
  • Published : 1998.05.30
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Abstract

We report a case of epidural hematoma occuring after bloody tap during epi-dural catheter for cancer pain control in thrombocytopenic patient. Two hours after epidurl puncture, patient experienced severe back pain and numbness of both legs. Following day, patient complained of motor paralysis and urinary difficulty. Diagnosis utilizing magnetic reasonance imaging, showed epidural hematoma extending from $T_{11}$ to $T_{12}$. Thrombocytopenia prevented surgical intervention. Therefore we restored conservative therapy with packed red cell, platelet concentration, steroid and hemostatic, which provided complete neurologic recovery, spontaneously over several days without surgical intervention.

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