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KMID : 0359819930220040598
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 4 p.598 ~ p.603
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Anterior Spinal Cord Syndrome Following Eidural Block
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김재중
박정운/김영/하영수/정춘근
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Abstract
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This article report the case of a woman who developed and anterior spinal cord syndrome following epidural block. 10ml of 0.125% bupivacaine and 40mg of triamcinolone were injected epiduraliy for relief of back pain and radiating pain along the
posterolateral aspect of right leg. Within 2 hours, the patient complained of weakness and severe pain in both lower extremities and and rapidly became paraplegia. Myelography showed no obstruction and compression. Gd-enhanced sagittal and axial
image
of thoracic spine shows somewhat inhomogenous at the level of T9 on MRI. The paraplegia was permanent in the left leg and the right leg was slightly improved but grade I.
We note a number of potential etiologies and analyze their possible mechanism of action.
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KEYWORD
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