J Korean Pain Soc.  2004 Jun;17(1):66-70. 10.3344/jkps.2004.17.1.66.

Hemiparesis after Cervical Epidural Block: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Kosin University, Busan, Korea. kds0728@chol.com
  • 2Department of Anesthesiology and Pain Medicine, College of Medicine, University of Ulsan, Ulsan, Korea.

Abstract

Although cervical epidural steroid injection with local anaesthetic is considered a safe technique and is widely practiced, complications may occur. We report a patient that experienced unexpected hemiparesis due to upper cervical cord injury involving the medulla during cervical epidural block with steroid. The patient lost her consciousness just after the cervical epidural block and assisted ventilation was required. Left hemiplegia was also present. After four months of follow-up, she was able to walk without help for a short distance, but a swallowing difficulty, hoarseness, and left hemiparesis persist.

Keyword

cervical epidural; complication; cord injury; hemiparesis

MeSH Terms

Consciousness
Deglutition
Follow-Up Studies
Hemiplegia
Hoarseness
Humans
Paresis*
Ventilation
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