Paraplegia Following Intercostal Nerve Neurolysis with Alcohol and Thoracic Epidural Injection in Lung Cancer Patient.
10.3344/kjp.2015.28.2.148
- Author:
Byoung Ho KIM
1
;
Min Young NO
;
Sang Ju HAN
;
Cheol Hwan PARK
;
Jae Hun KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea. painfree@kuh.ac.kr
- Publication Type:Brief Communication
- Keywords:
Intercostal nerve block;
Lung cancer pain;
Neurolysis;
Paraplegia;
Spinal cord infarction;
Thoracic epidural injection
- MeSH:
Adult;
Conus Snail;
Drug Therapy;
Female;
Humans;
Injections, Epidural*;
Intercostal Nerves*;
Lung Neoplasms*;
Magnetic Resonance Imaging;
Neoplasm Metastasis;
Nerve Block;
Paraplegia*;
Recovery of Function;
Spinal Cord
- From:The Korean Journal of Pain
2015;28(2):148-152
- CountryRepublic of Korea
- Language:English
-
Abstract:
The goal of cancer treatment is generally pain reduction and function recovery. However, drug therapy does not treat pain adequately in approximately 43% of patients, and the latter may have to undergo a nerve block or neurolysis. In the case reported here, a 42-year-old female patient with lung cancer (adenocarcinoma) developed paraplegia after receiving T8-10 and 11th intercostal nerve neurolysis and T9-10 interlaminar epidural steroid injections. An MRI results revealed extensive swelling of the spinal cord between the T4 spinal cord and conus medullaris, and T5, 7-11, and L1 bone metastasis. Although steroid therapy was administered, the paraplegia did not improve.
