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Paraplegia following cervical epidural catheterization using loss of resistance technique with air: a case report

Authors
Chae, YJ  | Han, KR | Park, HB | Kim, C | Nam, SG
Citation
Korean journal of anesthesiology, 69(1). : 66-70, 2016
Journal Title
Korean journal of anesthesiology
ISSN
2005-64192005-7563
Abstract
We report a case of paraplegia without neurologic deficit of upper extremities following cervical epidural catheterization using air during the loss of resistance technique. A 41-year-old woman diagnosed with complex regional pain syndrome had upper and lower extremity pain. A thoracic epidural lead was inserted for a trial spinal cord stimulation for treating lower extremity pain and cervical epidural catheterization was performed for treating upper extremity pain. Rapidly progressive paraplegia developed six hours after cervical epidural catheterization. Spine CT revealed air entrapment in multiple thoracic intervertebral foraminal spaces and surrounding epidural space without obvious spinal cord compression before the decompressive operation, which disappeared one day after the decompressive operation. Her paraplegia symptoms were normalized immediately after the operation. The presumed cause of paraplegia was transient interruption of blood supply to the spinal cord through the segmental radiculomedullary arteries feeding the spinal cord at the thoracic level of the intervertebral foramen caused by the air.
Keywords
DOI
10.4097/kjae.2016.69.1.66
PMID
26885305
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
Ajou Authors
채, 윤정
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