The Korean Journal of Pain
- 제13권1호
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- Pages.130-133
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- 2000
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
경막외강 내시경술후 발생한 전격성 두통 -증례 보고-
Fulminant Headache after Epiduroscopy -A case report-
- 오완수 (인제대학교 의과대학 상계백병원 마취과학교실 통증크리닉) ;
- 이승준 (인제대학교 의과대학 상계백병원 마취과학교실 통증크리닉) ;
- 홍기혁 (인제대학교 의과대학 상계백병원 마취과학교실 통증크리닉)
- Oh, Wan-Soo (Pain Clinic, Department of Anesthesiology, Sanggye-Paik Hospital, College of Medicine, Inje University) ;
- Lee, Seung-Jun (Pain Clinic, Department of Anesthesiology, Sanggye-Paik Hospital, College of Medicine, Inje University) ;
- Hong, Ki-Hyuk (Pain Clinic, Department of Anesthesiology, Sanggye-Paik Hospital, College of Medicine, Inje University)
- 발행 : 2000.06.30
초록
Epiduroscopy is a new imaging and invasive technique that has become increasingly popular in the diagnosis and therapy of spinal pain syndrome. However, the risk of epiduroscopy is a major concern due to its invasiveness. The complications include hematoma, infection, neural damage, cardiac failure and raising of intracranial pressure. We have experienced a case of severe diffuse headache and dizziness following 1 day after epiduroscopy. Emergent brain MRI finding has no remarkable sign. The patient was admitted for 5 days to be treated with bed rest, adequate hydration and pain control with analgesics. After the treatments, she was recovered without residual sequelae and discharged. We need to take greater care of the undesirable effects detected intra- and post epiduroscopy, especially sign of increased intracranial pressure. Therefore, close monitoring of intracranial pressure is necessary during epiduroscopy.