Paraplegia following intercostal nerve neurolysis with alcohol and thoracic epidural injection in lung cancer patient.

Autor: Kim BH; Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea., No MY; Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea., Han SJ; Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea., Park CH; Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea., Kim JH; Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
Jazyk: angličtina
Zdroj: The Korean journal of pain [Korean J Pain] 2015 Apr; Vol. 28 (2), pp. 148-52. Date of Electronic Publication: 2015 Apr 01.
DOI: 10.3344/kjp.2015.28.2.148
Abstrakt: The goal of cancer treatment is generally pain reduction and function recovery. However, drug therapy does not treat pain adequately in approximately 43% of patients, and the latter may have to undergo a nerve block or neurolysis. In the case reported here, a 42-year-old female patient with lung cancer (adenocarcinoma) developed paraplegia after receiving T8-10 and 11(th) intercostal nerve neurolysis and T9-10 interlaminar epidural steroid injections. An MRI results revealed extensive swelling of the spinal cord between the T4 spinal cord and conus medullaris, and T5, 7-11, and L1 bone metastasis. Although steroid therapy was administered, the paraplegia did not improve.
Databáze: MEDLINE