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자궁경부암 환자의 통증치료중 척추전이에 의한 하반신 마비 -증례 보고-

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Author(s)
김인정천범수견일수이정구
Keimyung Author(s)
Lee, Jung Koo
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한통증학회지
Issued Date
1997
Volume
10
Issue
2
Keyword
Anesthetic technique: EpiduralPain: Cervical cancer, paraplegiaMetastatic cancer
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.
Alternative Title
Paraplegia Caused by Vertebral Metastasis during Pain Control in Cervical Cancer Patient
-A case report-
Keimyung Author(s)(Kor)
이정구
Publisher
School of Medicine
Citation
김인정 et al. (1997). 자궁경부암 환자의 통증치료중 척추전이에 의한 하반신 마비
-증례 보고-. 대한통증학회지, 10(2), 304–307.
Type
Article
ISSN
1226-2579
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39753
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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