- 자궁경부암 환자의 통증치료중 척추전이에 의한 하반신 마비 -증례 보고-
- ㆍ 저자명
- 김인정,천범수,견일수,이정구,Kim. In-Jung,Chun. Bum-Soo,Kyeon. Il-Soo,Lee. Jung-Koo
- ㆍ 간행물명
- 大韓痛症學會誌
- ㆍ 권/호정보
- 1997년|10권 2호|pp.304-307 (4 pages)
- ㆍ 발행정보
- 대한통증학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Continuous epidural infusion, a combination of local anesthetic and opioid, have been widely administered for treatment of chronic cancer pain. A serious complications of epidural block is paraplegia which can also be caused by : direct spinal cord injury, epidural hematoma, epidural abscess, ischemic change, neurotoxicity, preexisting disease. Continuous epidural block for pain control of patient with cervical cancer was performed at $T_{12}/L_1$ interspace. A 4 cm catheter was inserted cephalad into the epidural space. After four months, back pain and motor weariless of lower extremities progressively developed. Spine CT showed bony destruction and soft mass-like lesion at $T_9$ & $T_{12}$ spine. We propose paraplegia was caused by spinal cord compression which resulted from vertebral metastasis of cervical cancer.