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Delayed occurrence of spinal arachnoiditis following a caudal block

Title
Delayed occurrence of spinal arachnoiditis following a caudal block
Authors
Na E.H.Han S.J.Kim M.H.
Ewha Authors
김명현한수정
SCOPUS Author ID
김명현scopus; 한수정scopus
Issue Date
2011
Journal Title
Journal of Spinal Cord Medicine
ISSN
1079-0268JCR Link
Citation
vol. 34, no. 6, pp. 616 - 619
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Context: Spinal arachnoiditis is a rare disease caused by fibrosis and adhesion of the arachnoid membrane due to chronic inflammation. The causes of arachnoiditis are infection, spinal surgery, intraspinal injection of steroid or myelography dye, and spinal anesthesia. Method: Case report. Findings: A 60-year-old woman presented with progressive weakness and sensory change of both legs and urinary symptoms. She had received a single caudal block 6 months before symptom onset. Magnetic resonance imaging of the thoraco-lumbar spine showed an intradural extramedullary tumor at the T5-T7 level. She underwent laminectomy and tumor resection. The pathological finding was arachnoiditis. After surgery, a rehabilitation program of strengthening exercises of both lower extremities and gait training was started. At 2-month follow-up, she was able to walk with orthoses and performed daily activities with minimal assistance. Conclusion: Symptoms of spinal arachnoiditis occurred 6 months after a single caudal block in this woman. Clinicians should be aware of this possible delayed complication. © The Academy of Spinal Cord Injury Professionals, Inc. 2011.
DOI
10.1179/2045772311Y.0000000035
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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