Acute monoplegia after lysis of epidural adhesions: a case report

Pain Practice : the Official Journal of World Institute of Pain
Kok-Yuen Ho, Preeti Manghnani

Abstract

Lysis of epidural adhesions is an interventional procedure performed to treat refractory low back pain or radicular pain due to epidural scarring. A 39-year-old female with a diagnosis of failed back surgery syndrome underwent lysis of epidural adhesions using a Racz catheter. She developed acute monoplegia of her right lower extremity immediately after the procedure. Radiographic imaging did not reveal an epidural hematoma. Motor and sensory function in the right lower limb returned after 5 days. Large volumes of fluid injected during neuroplasty could have caused transient nerve injury from compression within loculated epidural compartments.

References

Nov 14, 1997·Journal of Spinal Disorders·R F McLainS T Hecht
Aug 10, 2006·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Andreas VeihelmannH J Refior
Dec 13, 2006·Pain Practice : the Official Journal of World Institute of Pain·Serdar Erdine, Gül K Talu

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Citations

Nov 1, 2012·Pain Management·Standiford Helm
Jan 31, 2014·The Korean Journal of Pain·Frank LeeSteven P Cohen
Apr 9, 2015·The Korean Journal of Pain·Yong Seok LimJoon Kim

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