Delayed occurrence of spinal arachnoiditis following a caudal block.

The Journal of Spinal Cord Medicine
Eun Hye NaMyung Hyun Kim

Abstract

Spinal arachnoiditis is a rare disease caused by fibrosis and adhesion of the arachnoid membrane due to chronic inflammation. The causes of arachnoiditis are infection, spinal surgery, intraspinal injection of steroid or myelography dye, and spinal anesthesia. Case report. A 60-year-old woman presented with progressive weakness and sensory change of both legs and urinary symptoms. She had received a single caudal block 6 months before symptom onset. Magnetic resonance imaging of the thoraco-lumbar spine showed an intradural extramedullary tumor at the T5-T7 level. She underwent laminectomy and tumor resection. The pathological finding was arachnoiditis. After surgery, a rehabilitation program of strengthening exercises of both lower extremities and gait training was started. At 2-month follow-up, she was able to walk with orthoses and performed daily activities with minimal assistance. Symptoms of spinal arachnoiditis occurred 6 months after a single caudal block in this woman. Clinicians should be aware of this possible delayed complication.

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Citations

May 15, 2018·Pain Practice : the Official Journal of World Institute of Pain·Koen Van BoxemJan Van Zundert
Nov 10, 2020·The Journal of Spinal Cord Medicine·Erol JahjaPeter Howard Gorman
Jun 12, 2021·BioMed Research International·Roberto Corona-CedilloErnesto Roldan-Valadez

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