Journal of Korean Neurosurgical Society

  • 제48권6호
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  • Pages.544-546
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor

  • Kim, Sung-Hoon (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Song, Geun-Sung (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Son, Dong-Wuk (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University) ;
  • Lee, Sang-Won (Department of Neurosurgery, School of Medicine, Yangsan Pusan National University)
  • 투고 : 2010.05.10
  • 심사 : 2010.12.21
  • 발행 : 2010.12.28
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초록

Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.

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과제정보

연구 과제 주관 기관 : Pusan National University

참고문헌

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  1. Spinal coning after lumbar puncture in a patient with undiagnosed giant cervical neurofibroma vol.16, pp.3, 2010, https://doi.org/10.4103/0972-2327.116935
  2. Treatment Results in the Differential Surgery of Intradural Extramedullary Schwannoma of 110 Cases vol.8, pp.5, 2010, https://doi.org/10.1371/journal.pone.0063867
  3. Neurological complications following spinal anaesthesia in a patient with congenital absence of lumbar vertebra vol.58, pp.4, 2010, https://doi.org/10.4103/0019-5049.139021
  4. Anesthetic Management of an Orthopedic Patient With a Suspected Occult Spinal Cord Tumor: A Review of Spinal Cord Coning vol.26, pp.4, 2010, https://doi.org/10.1097/ana.0000000000000037
  5. Paraplegia caused by giant intradural herniation of a lumbar disk after combined spinal-epidural anesthesia in total hip arthroplasty vol.32, pp.None, 2010, https://doi.org/10.1016/j.jclinane.2016.02.025