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KMID : 0363119960090020434
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Korean Journal of Pain
1996 Volume.9 No. 2 p.434 ~ p.438
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Epidural Abscess Following Epidural Catheterization
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Abstract
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Epidural abscess is associated with placement of epidural catheter is very rare. We experienced two cases of epidural abscess formation after placement of epidural catheter for pain management.
A 63 years old female patient received thoracic epidural catheterization for management of pain due to herpes zoster on right T4 dermatome. Two weeks after catheterization, she complained of paraparesis and anesthesia below T4 dermatome. Four
weeks
later magnetic resonance images was performed and revealed epidural abscess on T2-T5. Emergent decompressive laminectomy was performed but neurologic symptoms were not improved. In other case, a 75 years old male patient received lumbar epidural
catheterization for management of Buerger's disease. About on month later, pus was aspirated from lumbar epidural space. But further evaluation could not be achieved because he wanted to discharge against advice.
We emphasize that epidural abscess results sequele serious and prompt diagnosis and treatment is important.
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