Paraplegia After Thoracic Epidural Steroid Injection.
Paraplegia After Thoracic Epidural Steroid Injection.
复制标题
胸段硬膜外类固醇注射后截瘫。
DOI：
10.1213/xaa.0000000000000402
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
S. Dwivedi
中科院分区：
文献类型：
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作者：
V. Loomba;H. Kaveeshvar;S. Dwivedi
硬膜外类固醇注射是疼痛医生常用的手术。美国区域麻醉学会和其他几个组织最近提供了在使用抗凝剂的情况下进行硬膜外注射的指导方针。我们提出一个病例的病人谁发展硬膜外血肿和随后截瘫，尽管严格遵守这些指导方针。虽然新的指导方针有助于指导实践，但破坏性神经并发症的风险仍然存在，正如我们的病例所证明的那样。
Epidural steroid injections are a common procedure performed by pain physicians. The American Society of Regional Anesthesia along with several other groups recently provided guidelines for performing epidural injections in the setting of anticoagulants. We present a case of a patient who developed an epidural hematoma and subsequent paraplegia despite strict adherence to these guidelines. Although new guidelines serve to direct practice, risks of devastating neurologic complications remain as evidenced by our case.