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Korean J Spine Search

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Cervical and Thoracic Epidural Hematoma Occurred Immediately after Epidural Nerve Block - A Case Report -
Bok-Hyun Jo, M.D., Seok-Won Kim, M.D., Seung-Myung Lee, M.D., Ho-Shin, M.D.
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea
경막외 신경차단술 후 바로 발생한 경추부 및 흉추부 경막외혈종 - 증례 보고 -
조복현,김석원,이승명,신호
조선대학교 의과대학 신경외과학교실
Abstract
Cervical epidural nerve block is known to be a useful procedure for the management of radiating pain on the upper extremity. A 77-year-old woman underwent epidural nerve block for the relief of radiating pain on right upper extremity. Thirty minutes after the procedure, patient experienced motor paralysis of left leg. The patient was managed with intravenous analgesics and steroids. But three hours after the block, motor weakness of both lower extremities was progressive. Magnetic resonance imaging(MRI) showed epidural hematoma extending from C4 to T3. Emergent decompressive surgery was performed. Ope- ration was successful and patient recovered satisfactory without any sequelae.
Keywords: Cervical epidural nerve block.Epidural hematoma.Motor paralysis


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