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척수 혹은 경막외 마취 후 발생한 화학적 수막염

Other Titles
 Chemical Meningitis after Spinal or Epidural Anesthesia 
Authors
 이승하  ;  이명준  ;  김원주 
Citation
 Journal of Neurocritical Care, Vol.7(1) : 40-43, 2014 
Journal Title
 Journal of Neurocritical Care 
ISSN
 2005-0348 
Issue Date
2014
Abstract
Background: Chemical meningitis results from foreign materials causing inflammation to the meninges covering the brain and spinal cord. Cerebrospinal fluid (CSF) study of chemical meningitis mimics bacterial meningitis. Case Report: We report three cases of chemical meningitis after spinal or epidural anesthesia with mepivacaine or bupivacaine. They experienced mental change or seizure. The results of CSF study revealed increased polymorphonuclear cell count and protein level and decreased glucose concentration. Gram staining and bacterial culture of CSF were all negative. We started empirical antibiotics and corticosteroids immediately and the patients were rapidly improved. Conclusion: The chemical meningitis should be differentiated in bacterial meningitis because bacterial meningitis is life-threatening and requires immediate antibiotic therapy. Chemical meningitis dramatically responds to steroid. The results of CSF study improved shortly after steroid administration.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
김원주(Kim, Won Joo) ORCID logo https://orcid.org/0000-0002-5850-010X
이명준(Lee, Myung Jun)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99363
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