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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Han-Il (Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine) Park, Yong-Sook (Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine) Cho, Tack-Geun (Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University School of Medicine) Park, Seung-Won (Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine) Kwon, Jeong-Taik (Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine) Kim, Young-Baeg (Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제52권 제3호
발행연도
2012.1
수록면
228 - 233 (6page)

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Objective : Chronic neck or back pain can be managed with various procedures. Although these procedures are usually well-tolerated, a variety of side effects have been reported. In this study we reviewed cases of unexpected temporary adverse events after blocks and suggest possible causes. Methods : We reviewed the records of patients treated with spinal pain blocks between December 2009 and January 2011. The types of blocks performed were medial branch blocks, interlaminar epidural blocks and transforaminal epidural blocks. During the first eight months of the study period (Group A), 2% mepivacaine HCL and triamcinolone was used, and during the last six months of the study period (Group B), mepivacaine was diluted to 1% with normal saline. Results : There were 704 procedures in 613 patients. Ten patients had 12 transient neurologic events. Nine patients were in Group A and one was in Group B. Transient complications occurred in four patients after cervical block and in eight patients after lumbar block. Side effects of lumbar spine blocks were associated with the concentration of mepivacaine (p<0.05). The likely causes were a high concentration of mepivacaine in five patients, inadvertent vascular injection in three patients, intrathecal leak of local anesthetics in one, and underlying conversion disorder in one. Conclusion : Spinal pain blocks are a good option for relieving pain, but clinicians should always keep in mind the potential for development of inevitable complications. Careful history-taking, appropriate selection of the anesthetics, and using real-time fluoroscopy could help reduce the occurrence of adverse events.
#Adverse effect #Spinal pain #Conversion disorder #Medial branch blocks #Paralysis #C2 ganglion block

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참고문헌 (34)

참고문헌 신청
Abdi S / 2007 / Epidural steroids in the management of chronic spinal pain : a systematicreview / Pain Physician 10:185~212 google schola Binzer M / 1998 / Motor conversion disorder. A prospective 2- to5-year follow-up study / Psychosomatics 39:519~527 google schola Bot SD / 2005 / Incidence and prevalence of complaints of the neckand upper extremity in general practice / Ann Rheum Dis 64:118~123 google schola Bukwirwa DHW / Toxicity from Local Anaesthetic Drugs / Update inanaesthesia No 101999 :50~51 google schola Bush K / 1996 / Outcome of cervical radiculopathy treated with periradicular/epidural corticosteroid injections : a prospective study withindependent clinical review / Eur Spine J 5:319~325 google schola

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