KJC Korea
Journal Central

Journal of Korean Society of Spine Surgery 2022 KCI Impact Factor : 0.05

Korean | English

pISSN : 2093-4378 / eISSN : 2093-4386

http://journal.kci.go.kr/krspine

BACK
TOP

Home > Explore Content > All Issues > Article View

9 of 11

Cauda Equina Syndrome due to Epidural Hematoma After Lumbar Epidural Block - A Case Report-

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2009, 16(2), pp.134-137

Publisher : Korean Society Of Spine Surgery
Research Area : Orthopedic Surgery

안병우 ¹, 김종관 ¹, 윤종호 ¹, 김기환 ¹, Jeehun Lee ¹, 이의철 ¹

¹성균관대학교

ABSTRACT
열림/닫힘 버튼

Cauda equina syndrome after epidural block is a rare complication, but it requires emergency surgery when it is diagnosed. A 65-year-old man who underwent epidural block at a local clinic was admitted with right lower leg weakness and decreased leg sensation, severe lower radiating pain, dysuria and decreasing sensation in the perianal region. Magnetic resonance image showed protruded disc material between L4-L5 and a hematoma that occupied most of the spinal canal and this was compressing the spinal cord. These findings were diagnostic for cauda equina syndrome after epidural block and so laminectomy, excision of the herniated disc and removal of the hematoma were done. At 6 months follow-up, the neurologic symptoms were resolved except for the dorsiflextion of the ankle and the big toe. We report here on a case of cauda equina syndrome as a rare complication after epidural anesthesia.
KEYWORDS
열림/닫힘 버튼

Cauda equina syndrome, Lumbar epidural block

Statistics

452 Viewed

1 Downloaded

Tools

Print this page

Export Citation

Sharing

Issue List

Citation status

KCI Citation Counts (2)
열림/닫힘 버튼
REFERENCES (7)
열림/닫힘 버튼
* 2022년 이후 발행 논문의 참고문헌은 현재 구축 중입니다.

[book] Waldman SD / 2001 / Cervial epidural nerve block. In: Interventional Pain Management. 2nd ed. Edited / WB Saunders company : 373~381

[journal] Bent U / 1994 / An epidural hematoma following single shot epidural anesthesia / Anaesthesist 43 : 245~248

[journal] Dickman CA / 1990 / Spinal epidural hematoma associated with epidural anesthesia : complication of systemic heparinization in patient receiving peripheral thrombolytic therapy / Anesthesiology 72 : 947~950

[journal] Skilton RW / 1998 / Epidural hematoma following anticoagulant treatment in a patient with an indwelling epidural catheter / Anaesthesia 53 : 691~695

[journal] Park BM / 1988 / Clinical observation on 8 cases of cauda equina syndrome / J of Korean orthop Assoc 23 : 184~192

[journal] Ayten B / 2006 / Cauda equina syndrome after epidural steroid injection: A case report / J. of Manipulative and Physiological Therapeutics 29 : 492.e1~492.e3

[journal] Kostuik J,P / 1986 / Cauda equina syndrome and lumbar disc herniation / J. Bone joint Surgery Am 68 : 386~391