J Korean Soc Emerg Med.  2005 Jun;16(3):390-393.

Epidural Abscess after Interventional Muscle and Nerve Stimulation Therapy (IMNS): A Case Report

• Park JS
• Park MK
• Lee BJ
• Lee YJ

Abstract

Advanced procedures for pain control have recently grown and became popular Although the incidence of epidural abscess is very low, but appears to have increased due to procedures being performed more frequently in the spine region, we should devote every effort to the prevention of abscess formation. Most cases of epidural abscess in the literature are related to epidural catheterization and neuroaxial anesthesia. MRI or CT scanning should be performed to confirm the diagnosis, and early neurosurgical consultation is advisable to avoid sequelae. A 63-year-old female patient with diabetes mellitus received interventional muscular and nerve stimulation (IMNS). After IMNS, the patient began to suffer severe low back pain and local tenderness MRI showed epidural and multifocal abscess in the lumbar region, and an emergency decompressive laminectomy with drainage was performed. We recommend an aseptic technique to prevent infection during IMNS for diabetic patients.

Keyword

Diabetes mellitus; Epidural abscess; Interventional muscle and nerve stimulation (IMNS)

MeSH Terms

Abscess
Anesthesia
Catheterization
Catheters
Diabetes Mellitus
Diagnosis
Drainage
Emergencies
Epidural Abscess*
Female
Humans
Incidence
Laminectomy
Low Back Pain
Lumbosacral Region
Magnetic Resonance Imaging
Middle Aged
Spine
Tomography, X-Ray Computed