Epidural adhesiolysis is a convenient and safe method for the management of back pain. However, we experienced a case where a patient developed sensory change to S2 area after epidural adhesiolysis.
Male patient, 43 years old, was admitted to our apin clinic for epidural adhesiolysis for back pain. Patient was experiencing apin radiating to left thigh, and sensory change and motor disturbance to the S1 area. Patient's symptoms and signs were
much
improved on the first day of epidural adhesiolysis. Patient, however, complained of numbness of perineal and S2 areas after the next day of injections.
We postulated the cause of this complication was due to: compression of nerve root by the large volume of injectate and hematoma. and the side effect of local anesthetic, hypertonic saline and steroid.
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