The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Lower Extremity Paralysis Developed during Pain Therapy -A case report-

통증 치료시 발생된 하지 마비 -증례 보고-

  • Kwang, Min-Jeon (Department of Anesthesiology, Keimyung University, School of Medicine) ;
  • Cheun, Jae-Kyu (Department of Anesthesiology, Keimyung University, School of Medicine)
  • 곽민전 (계명대학교 의과대학 마취과학교실) ;
  • 전재규 (계명대학교 의과대학 마취과학교실)
  • Published : 1996.06.01
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Abstract

Recently, continuous epidural catheter insertion is usually employed in operation and chronic pain control. Delayed migration of an extradural catheter into subdural space or subarachnoid space is a rare but life threatening complication of continuous epidural catheter insertion, especially with out patients. The symptoms may include lower extremity weakness, hypotension, drowsy and respiratory depression. We experienced two cases of lower extremity paralysis due to delayed migration into subdural or subarachnoid spaces at our pain clinic. The tecnical procedures for continuous epidural catheterization went smoothly without any complications. However, clinical signs of lower extremity paralysis and sensory loss developed gradually, about 2 hours and 30 minutes after the continuous epidural injection. Two cases were confirmed by subdurogram and myelogram.

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