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腰骶部类固醇硬膜外注射后截瘫

Paraplegia following lumbosacral steroid epidural injections.

作者信息

AbdeleRahman Kader Tawfiq, Rakocevic Goran

机构信息

Department of Neurology, Thomas Jefferson University Hospital, 900 Walnut St., Suite 200, Philadelphia, PA 19107, USA.

Department of Neurology, Thomas Jefferson University Hospital, 900 Walnut St., Suite 200, Philadelphia, PA 19107, USA.

出版信息

J Clin Anesth. 2014 Sep;26(6):497-9. doi: 10.1016/j.jclinane.2014.03.010. Epub 2014 Sep 4.

Abstract

Spinal cord ischemia is a rare but possible neurological complication following routine conservative treatment of lumbosacral radiculopathy. A case of a 46 year old woman with chronic L5 radiculopathy, who developed spinal cord ischemia following epidural steroid injection, is reported. Two months after the epidural injection, she required crutches for walking and had neurogenic bladder and bowel.

摘要

脊髓缺血是腰骶神经根病常规保守治疗后一种罕见但可能出现的神经并发症。本文报告了一例46岁患有慢性L5神经根病的女性患者,其在硬膜外注射类固醇后发生了脊髓缺血。硬膜外注射两个月后,她行走需要借助拐杖,并且出现了神经源性膀胱和肠道问题。

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