The Korean Journal of Pain

  • 제26권3호
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  • Pages.286-290
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  • 2013
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Motor Weakness after Caudal Epidural Injection Using the Air-acceptance Test

  • Lee, Mi Hyeon (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Han, Cheol Sig (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Sang Hoon (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jeong Hyun (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Eun Mi (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Young Ryong (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Chung, Mi Hwa (Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2013.03.04
  • 심사 : 2013.04.03
  • 발행 : 2013.07.01
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초록

Air injected into the epidural space may spread along the nerves of the paravertebral space. Depending on the location of the air, neurologic complications such as multiradicular syndrome, lumbar root compression, and even paraplegia may occur. However, cases of motor weakness caused by air bubbles after caudal epidural injection are rare. A 44-year-old female patient received a caudal epidural injection after an air-acceptance test. Four hours later, she complained of motor weakness in the right lower extremity and numbness of the S1 dermatome. Magnetic resonance imaging showed no anomalies other than an air bubble measuring 13 mm in length and 0.337 ml in volume positioned near the right S1 root. Her symptoms completely regressed within 48 hours.

키워드

참고문헌

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피인용 문헌

  1. Method to Reduce the False-Positive Rate of Loss of Resistance in the Cervical Epidural Region vol.2016, pp.None, 2013, https://doi.org/10.1155/2016/9894054
  2. ¿Es seguro someterse a cambios de presión atmosférica tras una técnica epidural? vol.23, pp.2, 2013, https://doi.org/10.20986/resed.2016.3414/2016
  3. Caudal Epidural Block: An Updated Review of Anatomy and Techniques vol.2017, pp.None, 2013, https://doi.org/10.1155/2017/9217145
  4. Persistent cauda equina syndrome after caudal epidural injection under severe spinal stenosis: a case report vol.10, pp.None, 2017, https://doi.org/10.2147/jpr.s134636
  5. Optimal cut-off points of lumbar pedicle thickness as a morphological parameter to predict lumbar spinal stenosis syndrome: a retrospective study vol.11, pp.None, 2018, https://doi.org/10.2147/jpr.s168990
  6. Usefulness of the Inferior Articular Process’s Cross-Sectional Area as a Morphological Parameter for Predicting Central Lumbar Spinal Stenosis vol.9, pp.1, 2020, https://doi.org/10.3390/jcm9010214