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KMID : 0351819980390010043
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Kyunpook University Medical Journal
1998 Volume.39 No. 1 p.43 ~ p.49
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Cervical Pseudomonas Epidural Abscess after Stellate Ganglion Blocks
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Cheon Sang-Wook
Sung Joo-Kyung
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Abstract
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The pseudomonas spinal epidural abscess is a extremely rare disease. It is well known that early diagnosis and surgical evacuations of the lesions are very important for better treatment results. Two cases of cervical epidural abscess were admitted to our hospital at the same time with neck pain, chillness and quadriparesis. One month prior to admission, the two patients underwent stellate ganglion block at an identical local medical center on the same day, due to pain in the neck and the scapular area.
Antibiotic therapy was initiated immediately and surgical decompression was performed through a posterior approach. Total laminectomy of C4-C7 was done and greenish pus and granulation tissue in anterior epidural space were evacuated. Culture of the pus revealed) Pseudomonas aetuginosa. In the two cases, stellate ganglion block was suspected a route of infection. Case 1. patient recovered completely, but Case 2. had severe neccrological deficit with quadriparesis.
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KEYWORD
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Stellate ganglion block, Pseudomonas, Cervical epidural abscess
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