J Korean Pain Soc.  1996 Jun;9(1):283-288.

Lower Extremity Paralysis Developed during Pain Therapy: A case report

Affiliations
  • 1Department of Anesthesiology, Keimyung University, School of Medicine, Taegu, Korea.

Abstract

Recently, continuous epidural catheter insertion is usually employed in operation and chronic pain control Delayed migration of an extradural catheter into subdural space or subarachnoid space is a rare but life threatening complication of continuous epidural catheter insertion, especially with out patients. The symptoms may include lower extremity weakness, hypotension, drowsy and respiratory depression. We experienced two cases of lower extremity paralysis due to delayed migration into subdural or subarachnoid spaces at our pain clinic. The tecnical procedures for continuous epidural catheterization went smoothly without any complications. However, clinical signs of lower extremity paralysis and sensory loss developed gradually, about 2 hours and 30 minutes after the continuous epidural injection. Two cases were confirmed by subdurogram and myelogram.

Keyword

Anesthetic techniques: epidural; Complications: accident

MeSH Terms

Catheterization
Catheters
Chronic Pain
Humans
Hypotension
Injections, Epidural
Lower Extremity*
Outpatients
Pain Clinics
Paralysis*
Respiratory Insufficiency
Subarachnoid Space
Subdural Space
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