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KMID : 0361620170520060552
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Journal of the Korean Orthopaedic Association
2017 Volume.52 No. 6 p.552 ~ p.555
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Pneumocephalus after Interlaminar Lumbar Epidural Block
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Chung Young-Woo
Seo Hyoung-Yeon
Lee Dong-Hyun
Kim Sung-Kyu
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Abstract
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Lumbar epidural block using a “loss of resistance” technique (LORT) with air can potentially cause pneumocephalus. Herein, we present a pneumocephalus that occurred after an epidural block. A 58-year-old male patient underwent an interlaminar lumbar epidural block using a LORT with air for L4?5 disc herniation. After the block, the patient complained of headache, vomiting, and truncal myoclonus. For further evaluation, a brain computed tomography was performed, and pneumocephalus was finally diagnosed. The patient underwent conservative treatment and recovered without any complications. He was discharged on the 11th day after the block.
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KEYWORD
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pneumocephalus, complications, epidural injections
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