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KMID : 1040020140050010026
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International Journal of Pain
2014 Volume.5 No. 1 p.26 ~ p.30
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Severe Neuropathic Pain and Muscle Spasms Following Caudal Epidural Block
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Youn Ann Mi-Sun
Ko Young-Kwon
Jang Dale
Choi Guen-Seok
Lee Sun-Yeul
Shin Yong-Sup
Lee Won-Hyung
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Abstract
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Caudal epidural block is a common procedure used for the treatment of low back pain, providing patients with cost-effective as well as pain-effective management. However, unintentional side effects including local anesthetic toxicity, spinal epidural hematoma, infection, or certain neurogenic complications may lead to permanent neurologic deficits. Therefore, it is essential for the anesthesiologist to be fully aware of all of the anatomical and technical aspects of performing a successful block, along with possessing concrete knowledge of specific pharmacological interactions and potential side effects of local anesthetics and concomitant use of steroids in order to minimize such devastating outcomes. We present the case of a patient who underwent caudal epidural block resulting in severe neuropathic pain along with muscle spasms at an outpatient clinic.
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KEYWORD
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caudal epidural, local anesthetics, neurogenic complications, steroids
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