KMID : 0363120060190020249
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Korean Journal of Pain 2006 Volume.19 No. 2 p.249 ~ p.252
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Clinical Experience of Pain Management for Postlaminectomy Syndrome due to Pseudomeningocele - A case report -
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Cho Hye-Ran
Han Sang-Ji Park Sang-Chul Kwon Young-Eun Lee Jun-Hak
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Abstract
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Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.
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KEYWORD
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postlaminectomy syndrome, pseudomeningocele, selective transforaminal epidural block
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