자궁경부암 환자의 통증치료중 척추전이에 의한 하반신 마비 -증례 보고-

Abstract

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 T12/L1 interspace. A 4 cm catheter was inserted cephalad into the epidural space. After four months, back pain and motor weakness of lower extremities progressively developed. Spine CT showed bony destruction and soft mass-like lesion at T9 & T12 spine. We propose paraplegia was caused by spinal cord compression which resulted from vertebral metastasis of cervical cancer.