J Korean Pain Soc.
1997 Nov;10(2):304-304.
Paraplegia Caused by Vertebral Metastasis during Pain Control in Cervical Cancer Patient
- Affiliations
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- 1Pain Clinic, Department of Anesthesiolgy, Sunrin Hospital, Pohang, Korea.
- 2Pain Clinic, Department of Anesthesiology, College of Medicine, Keymyung University, Taegu, Korea.
- 3Seoul Branch of Kunkuk University Hospital, Korea.
Abstract
- Continuous epidural infusion, a combination of local anesthetic and opioid, have been widely administered for treatment of chronic cancer pain. A serious complications of epidural block is paraplegia which can also be caused by: direct spinal cord injury, epidural hematoma, epidural abscess, ischemic change, neurotoxicity, preexisting disease. Continuous epidural block for pain control of patient with cervical cancer was performed at T12/L1 interspace. A 4 cm catheter was inserted cephalad into the epidural space. After four months, back pain and motor weakness of lower extremities progressively developed. Spine CT showed bony destruction and soft mass-like lesion at T9 & T12 spine. We propose paraplegia was caused by spinal cord compression which resulted from vertebral metastasis of cervical cancer.
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