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KMID : 0363119960090010275
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Korean Journal of Pain
1996 Volume.9 No. 1 p.275 ~ p.278
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Spinal Epidural and Subdural Abscess following Epidural Catheterization -A case report-
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Abstract
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The placement of epidural catheter may cause complications such as epidural hematoma, epidural adscess and neural damage. Among the above complications, epidural abscess is a rare but serious complication.
This report pertains to a diabetic metlitus patient who developed spinal epidural and subdural abscess after continuous epidural catheterization for management of pain caused by reflex sympathetic dystrophy. The patient experienced urinary
incontinence,
as a neurologic sign, 8 days after epidural catherization. In was considered that the poor prognosis was due to a combination effects of a delayed visit to the hospital for treatment, rapid progression of abscess and uncontrolled blood sugar
level.
We therefore recommend aseptic technique and proper control of blood sugar level to prevent infection during and after epidural catheterization for diabetic patients. Early diagnosis of epidural abscess following surgical procedure must be
required
to
avoid sequelae.
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KEYWORD
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