경막외 차단 후 합병증으로 오인된 다발성 흉추 전이 암 - 증례 보고 - (Multiple Thoracic Metastasis Misrecognized as a Complication after Epidural Block - A case report -)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 2권 / 3호 / 113 ~ 116페이지
· 저자명 : 최용우

초록

We report here on a case of a patient who developed paraplegia
after thoracic epidural block that was done for the management of
postherpetic neuralgia, and the patient was later diagnosed with
spine metastasis from prostate cancer. This patient developed
paraplegia of both lower extremities 2 weeks after the epidural block.
We took X-ray and performed MRI of the thoracic spine for the
differential diagnosis of paraplegia associated with herpes zoster,
complications of epidural block or other diseases. The diagnosis
of the paraplegia was spinal cord compression at T8, and this was
caused by metastatic tumor that originated from prostate cancer.
When we encounter paraplegia after epidural block, we should also
consider other diseases as well as the complications of epidural
block like direct neural damage, abscess and hematoma. Especially
when there is the possibility of cancer, early detection, an accurate
diagnosis and timely treatment can provide the best chance to
ameliorate further medical consequences and optimize the quality
of life.

영어초록

We report here on a case of a patient who developed paraplegia
after thoracic epidural block that was done for the management of
postherpetic neuralgia, and the patient was later diagnosed with
spine metastasis from prostate cancer. This patient developed
paraplegia of both lower extremities 2 weeks after the epidural block.
We took X-ray and performed MRI of the thoracic spine for the
differential diagnosis of paraplegia associated with herpes zoster,
complications of epidural block or other diseases. The diagnosis
of the paraplegia was spinal cord compression at T8, and this was
caused by metastatic tumor that originated from prostate cancer.
When we encounter paraplegia after epidural block, we should also
consider other diseases as well as the complications of epidural
block like direct neural damage, abscess and hematoma. Especially
when there is the possibility of cancer, early detection, an accurate
diagnosis and timely treatment can provide the best chance to
ameliorate further medical consequences and optimize the quality
of life.

참고자료

· 없음