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Clinical Experience of Pain Management for Postlaminectomy Syndrome due to Pseudomeningocele -A case report-  

Cho, Hye Ran (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Han, Sang Ji (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Park, Sang Chul (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Kwon, Young Eun (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Lee, Jun Hak (Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center)
Publication Information
The Korean Journal of Pain / v.19, no.2, 2006 , pp. 249-252 More about this Journal
Abstract
Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.
Keywords
postlaminectomy syndrome; pseudomeningocele; selective transforaminal epidural block;
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