The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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The Sensory Change on the $S_2$ Area after Epidural Adhesiolysis -A case report-

경막외강 유착제거술후 발생한 $S_2$ 피부분절부위의 감각변화 -증례 보고-

  • Lee, Sang-Chul (Department of Anesthesiology, College of Medicine, Seoul National University) ;
  • Jo, Dae-Hyun (Department of Anesthesiology, College of Medicine, Seoul National University) ;
  • Yoon, Tae-Gyoon (Department of Anesthesiology, College of Medicine, Seoul National University) ;
  • Lee, Byeong-Geon (Department of Anesthesiology, College of Medicine, Seoul National University)
  • 이상철 (서울대학교 의과대학 마취과학교실) ;
  • 조대현 (서울대학교 의과대학 마취과학교실) ;
  • 윤태균 (서울대학교 의과대학 마취과학교실) ;
  • 이병건 (서울대학교 의과대학 마취과학교실)
  • Published : 1996.06.01
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Abstract

Epidural adhesiolysis is a convenient and safe method for the management of back pain. However, we experienced a case where a patient developed sensory change to S2 area after epidural adhesiolysis. Male patient, 43 years old, was admitted to our pain clinic for epidural adhesiolysis for back pain. Patient was experiencing pain radiating to left thigh, and sensory change and motor disturbance to the S1 area. Patient's symptoms and signs were much improved on the first day of epidural adhesiolysis. Patient, however, complained of numbness of perineal and S2 areas after the next day of injections. We postulated the cause of this complication was due to: compression of nerve root by the large volume of injectate and hematoma, and the side effect of local anesthetic, hypertonic saline and steroid.

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