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KMID : 0356920090560060720
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Korean Journal of Anesthesiology
2009 Volume.56 No. 6 p.720 ~ p.724
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Injury to the spinal cord by a thoracic epidural catheter used to control postpneumonectomy pain -A case report-
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Seo Kwi-Chu
Jung Jin-Yong
Rho Woon-Seok
Song Seok-Young
Kim Jung-Eun
Kim Jong-Hae
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Abstract
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A thoracotomy is one of the most severe painful operations. This severe pain can usually be controlled by thoracic epidural analgesia. Epidural catheterization for analgesia has several complications, e.g., epidural hematoma, abscess, spinal stenosis, spinal infarction, direct cord trauma, and neurotoxicity by chemical contamination. These complications can cause acute paraplegia, but permanent paraplegia is extremely rare. We report a case of paresthesia and temporary paralysis in a 54-year-old patient who suffered spinal cord injury after thoracic epidural catheterization for the control of postpneumonectomy pain under general anaesthesia.
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KEYWORD
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Epidural analgesia, Spinal cord injury, Thoracotomy
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