경막외 스테로이드 주입후 발생한 하지마비

• Published in: The Korean journal of pain Vol. 7; no. 1; pp. 106 - 112
• Main Authors: 정소영, So Young Chung, 송장호, Jang Ho Song, 이미라
• Format: Journal Article
• Language: Korean
• Published: 대한통증학회 30.05.1994
• ISSN: 2005-9159; 2093-0569

This report documents a case of paraplegia which apparently occurred following epidural injection of triamcinolone(40mg) and 0.125% bupivacaine(10ml). The patients condition was progressive until she experienced paraplegia and dissociative sensory loss below T5(Rt) and T10(Lt) dernatomes, along with urinary and fecal incontinence lasting 24 hours. CT and MRI were normal. Three months after the onset of paraplegia, the patient could only slightly move her legs. After 8 months of the initial paraplegia, she was able to walk with assistance, and to perceive pinrick sensation in her right leg, and tingling in her left leg. She could also void and defecate. At 16 months, paraplegia and sensory loss were slightly recovered. The cause for this paraplegia is still unknown, but it may be from exacerbation of pre- existing disease, acute transverse myelitis, anterior spinal artery syndrome, or neurotoxicity.