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경부 경막외 스테로이드 주입 후 발생한 불완전 사지마비
김기찬 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.1
Cervical epidural steroid injections are widely used to treat acute and chronic pain conditions involving the head, neck, and upper extremities. We have experienced a case in whom motor weakness, sensory change on whole body and swallowing difficulty following cervical epidural steroid injection in pain clinic between C6 & C7 spinous process with 18 gauge epidural needle. Spinal cord injury by epidural steroid injection is usually because of trauma from the needle, an epidural hematoma, fluid collection, ischemia from an artery injury or spasm, or an epidural abscess. Spinal cord damage can also occur as the result of arachnoiditis from the injection of a neurotoxic substance, a mistakenly injected drug, or one that contains a preservative. Epidural injections should be performed by experienced physicians who have shown competence in the technical aspects of these procedure. Fluoroscopically monitored injections are more likely to place medication at the exact target, yield more diagnostic feedback, and maximize therapeutic results.
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