Miyamoto Tatsuhito, Nakatani Toshihiko, Narai Yasuhiro, Sakakibara Manabu, Hashimoto Tatsuya, Saito Youji
Masui. 2014 Mar;63(3):353-7.
A woman in her 90's received continuous epidural block for the pain of herpes zoster. Four days after epidural catheterization, she was found with cellutitis. Fourteen days after epidural catheterization, spinal epidural abscess was pointed out on MRI. Since there were no neurological symptoms, we performed conservative medical management with antibiotics. She recovered without sequela When the symptoms of cellutitis appeared after epidural block (even if there are neither neurological symptoms nor infectious signs), there is a possibility of progressing into spinal epidural abscess.
一位90多岁的女性因带状疱疹疼痛接受了连续硬膜外阻滞。硬膜外导管置入术后四天，她被发现患有蜂窝织炎。硬膜外导管置入术后十四天，MRI显示有脊髓硬膜外脓肿。由于没有神经症状，我们采用抗生素进行保守治疗。她康复后无后遗症。硬膜外阻滞后出现蜂窝织炎症状时（即使既没有神经症状也没有感染迹象），有可能进展为脊髓硬膜外脓肿。
