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Accidental intradural injection during attempted epidural block -A case report-

Authors
 Joo Sun Yun  ;  Seung Youn Kang  ;  Jin Sun Cho  ;  Jong Bum Choi  ;  Youn-Woo Lee 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.60(3) : 205-208, 2011 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY
ISSN
 2005-6419 
Issue Date
2011
Keywords
Epidural block ; Intradural ; Subdural injection
Abstract
Several cases of accidental subdural injection have been reported, but only few of them are known to be accidental intradural injection during epidural block. Therefore we would like to report our experience of accidental intradural injection. A 68-year-old female was referred to our pain clinic due to severe metastatic spinal pain. We performed a diagnostic epidural injection at T9/10 interspace under the C-arm guided X-ray view. Unlike the usual process of block, onset was delayed and sensory dermatomes were irregular range. We found out a dense collection of localized radio-opaque contrast media on the reviewed X-ray findings. These are characteristic of intradural injection and clearly different from the narrow wispy bands of contrast in the subdural space.
Files in This Item:
T201103462.pdf Download
DOI
10.4097/kjae.2011.60.3.205
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seung Youn(강승연)
Yun, Joo Sun(윤주선)
Lee, Youn Woo(이윤우)
Choi, Jong Bum(최종범)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94352
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