Pneumocephalus after Interlaminar Lumbar Epidural Block.
10.4055/jkoa.2017.52.6.552
- Author:
Young Woo CHUNG
1
;
Hyoung Yeon SEO
;
Dong Hyun LEE
;
Sung Kyu KIM
Author Information
1. Department of Orthopedic Surgery, Chonnam National University Hospital, Gwangju, Korea. bonjourksk@hanmail.net
- Publication Type:Case Report
- Keywords:
pneumocephalus;
complications;
epidural injections
- MeSH:
Brain;
Headache;
Humans;
Injections, Epidural;
Male;
Middle Aged;
Myoclonus;
Pneumocephalus*;
Vomiting
- From:The Journal of the Korean Orthopaedic Association
2017;52(6):552-555
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lumbar epidural block using a “loss of resistance” technique (LORT) with air can potentially cause pneumocephalus. Herein, we present a pneumocephalus that occurred after an epidural block. A 58-year-old male patient underwent an interlaminar lumbar epidural block using a LORT with air for L4–5 disc herniation. After the block, the patient complained of headache, vomiting, and truncal myoclonus. For further evaluation, a brain computed tomography was performed, and pneumocephalus was finally diagnosed. The patient underwent conservative treatment and recovered without any complications. He was discharged on the 11th day after the block.
