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KMID : 0363120150280020148
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Korean Journal of Pain
2015 Volume.28 No. 2 p.148 ~ p.152
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Paraplegia Following Intercostal Nerve Neurolysis with Alcohol and Thoracic Epidural Injection in Lung Cancer Patient
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Kim Byong-Ho
No Min-Young
Han Sang-Ju
Park Cheol-Hwan
Kim Jae-Hun
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Abstract
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The goal of cancer treatment is generally pain reduction and function recovery. However, drug therapy does not treat pain adequately in approximately 43% of patients, and the latter may have to undergo a nerve block or neurolysis. In the case reported here, a 42-year-old female patient with lung cancer (adenocarcinoma) developed paraplegia after receiving T8-10 and 11th intercostal nerve neurolysis and T9-10 interlaminar epidural steroid injections. An MRI results revealed extensive swelling of the spinal cord between the T4 spinal cord and conus medullaris, and T5, 7-11, and L1 bone metastasis. Although steroid therapy was administered, the paraplegia did not improve.
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KEYWORD
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Intercostal nerve block, Lung cancer pain, Neurolysis, Paraplegia, Spinal cord infarction, Thoracic epidural injection
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