Clinical Experience of Pain Management for Postlaminectomy Syndrome due to Pseudomeningocele: A case report.
10.3344/kjp.2006.19.2.249
- Author:
Hye Ran CHO
1
;
Sang Ji HAN
;
Sang Chul PARK
;
Young Eun KWON
;
Jun Hak LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea. kwon8373@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
postlaminectomy syndrome;
pseudomeningocele;
selective transforaminal epidural block
- MeSH:
Cerebrospinal Fluid;
Humans;
Leg;
Low Back Pain;
Pain Management*;
Radiculopathy;
Spine
- From:The Korean Journal of Pain
2006;19(2):249-252
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postlaminectomy syndrome is characterized by persistent low back pain and radiculopathy of the legs after surgery of the spine. Pseudomeningocele is an uncommon cause of postlaminectomy syndrome; it is characterized by an extradural collection of cerebrospinal fluid (CSF) without dural covering, resulting from unrecognized dural tears at the time of lumbar surgery. In most cases, surgery to repair a pseudomeningocele is recommended. However if surgical treatment does not yield symptomatic relief, then conservative treatment should be considered. We treated a patient with a pseudomeningocele after spine surgery in which selective transforaminal epidural block produced long-term relief of symptoms. Here we describe the management of this patient.
