Anesth Pain Med.  2015 Apr;10(2):89-92. 10.17085/apm.2015.10.2.89.

Amyotrophic lateral sclerosis diagnosed after lumbar epidural block for treating low back pain: Two cases report

• No MY
• Kim BH
• Han SJ
• Lee YG
• Woo NS
• Kim JH

• KMID: 2148040
• DOI: http://doi.org/10.17085/apm.2015.10.2.89

Abstract

Lumbar epidural block is one of effective methods for treating low back pain with or without radiculopathy. However, neurologic complications can occur after epidural block due to several causes such as direct nerve injury or epidural hematoma. It is important to determine whether the neurologic complication is related to the procedure or is due to the underlying neurologic disease. We report two cases of patients who complained of weakness in their lower extremities after receiving a lumbar epidural block; they were ultimately diagnosed with amyotrophic lateral sclerosis.

Keyword

Amyotrophic lateral sclerosis; Epidural block; Low back pain; Neurologic complication; Radiculopathy

MeSH Terms

Amyotrophic Lateral Sclerosis*
Hematoma
Humans
Low Back Pain*
Lower Extremity
Radiculopathy