Accidental intradural injection during attempted epidural block: A case report.
10.4097/kjae.2011.60.3.205
- Author:
Joo Sun YUN
1
;
Seung Youn KANG
;
Jin Sun CHO
;
Jong Bum CHOI
;
Youn Woo LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ywleepain@yuhs.ac
- Publication Type:Case Report
- Keywords:
Epidural block;
Intradural;
Subdural injection
- MeSH:
Aged;
Contrast Media;
Female;
Humans;
Injections, Epidural;
Pain Clinics;
Subdural Space
- From:Korean Journal of Anesthesiology
2011;60(3):205-208
- CountryRepublic of Korea
- Language:English
-
Abstract:
Several cases of accidental subdural injection have been reported, but only few of them are known to be accidental intradural injection during epidural block. Therefore we would like to report our experience of accidental intradural injection. A 68-year-old female was referred to our pain clinic due to severe metastatic spinal pain. We performed a diagnostic epidural injection at T9/10 interspace under the C-arm guided X-ray view. Unlike the usual process of block, onset was delayed and sensory dermatomes were irregular range. We found out a dense collection of localized radio-opaque contrast media on the reviewed X-ray findings. These are characteristic of intradural injection and clearly different from the narrow wispy bands of contrast in the subdural space.
