Paraplegia After Thoracic Epidural Steroid Injection

被引：5
|
作者：
Loomba, Vivek [1 ]
Kaveeshvar, Hirsh [2 ]
Dwivedi, Samvid [1 ]
机构：
[1] Henry Ford Hosp, Dept Anesthesiol, 2799 West Grand Blvd, Detroit, MI 48202 USA
[2] Henry Ford Hosp, Dept Neurol, Detroit, MI 48202 USA
来源：
A & A CASE REPORTS | 2016年 / 7卷 / 05期
关键词：
D O I：
10.1213/XAA.0000000000000402
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Epidural steroid injections are a common procedure performed by pain physicians. The American Society of Regional Anesthesia along with several other groups recently provided guidelines for performing epidural injections in the setting of anticoagulants. We present a case of a patient who developed an epidural hematoma and subsequent paraplegia despite strict adherence to these guidelines. Although new guidelines serve to direct practice, risks of devastating neurologic complications remain as evidenced by our case.
引用
收藏
页码：118 / 121
页数：4
相关论文
共 50 条
  • [1] Paraplegia after epidural steroid injection
    Chung, J. Y.
    Han, J. H.
    Kang, J. M.
    Lee, B. J.
    ANAESTHESIA AND INTENSIVE CARE, 2012, 40 (06) : 1074 - 1076
  • [2] Paraplegia after interlaminar epidural steroid injection: A case report
    Lenoir, T.
    Deloin, X.
    Dauzac, C.
    Rillardon, L.
    Guigui, P.
    REVUE DE CHIRURGIE ORTHOPEDIQUE ET REPARATRICE DE L APPAREIL MOTEUR, 2008, 94 (07): : 697 - 701
  • [3] Paraplegia after intracord injection during attempted epidural steroid injection in an awake-patient
    Tripathi, M
    Nath, SS
    Gupta, RK
    ANESTHESIA AND ANALGESIA, 2005, 101 (04): : 1209 - 1211
  • [4] Thoracic Epidural Steroid Injection for Rib Fracture Pain
    Rauchwerger, Jacob J.
    Candido, Kenneth D.
    Deer, Timothy R.
    Frogel, Jonathan K.
    Iadevaio, Robert
    Kirschen, Neil B.
    PAIN PRACTICE, 2013, 13 (05) : 416 - 421
  • [5] Pneumocephalus after an epidural steroid injection
    Hutton, George J.
    Avila, Mirla
    Suarez, Gustavo A.
    CLINICAL NEUROLOGY AND NEUROSURGERY, 2009, 111 (03) : 309 - 310
  • [6] Cervical epidural abscess after epidural steroid injection
    Huang, RC
    Shapiro, GS
    Lim, M
    Sandhu, HS
    Lutz, GE
    Herzog, RJ
    SPINE, 2004, 29 (01) : E7 - E9
  • [7] Transient paraplegia after esophagectomy in a patient with thoracic epidural analgesia
    Sulen, Nina
    Petani, Barbara
    Bacic, Ivan
    Simurina, Tatjana
    PERIODICUM BIOLOGORUM, 2013, 115 (02) : 289 - 291
  • [8] Pneumocephalus after cervical epidural steroid injection
    Simopoulos, T
    Peeters-Asdourian, C
    ANESTHESIA AND ANALGESIA, 2001, 92 (06): : 1576 - 1577
  • [9] An unusual case of ASIA C T-10 Paraplegia after Lumbar Transforaminal Epidural Steroid Injection
    Kalia, H.
    JOURNAL OF PAIN, 2014, 15 (04): : S99 - S99
  • [10] PARAPLEGIA, EPIDURAL ANALGESIA, AND THORACIC ANEURYSMECTOMY
    FITZGIBBON, DR
    GLOSTEN, B
    WRIGHT, I
    TU, R
    READY, LB
    ANESTHESIOLOGY, 1995, 83 (06) : 1355 - 1359
12345