요부 경막외 스테로이드 주입 후 발생한 무균성 수막염 증례 보고
Aseptic Meningitis after a Lumbar Epidural Steroid Injection A case report
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Abstract
Complications following a well conducted epidural steroid injection are rare. A 50-year-old man developed a headache and neck stiffness 2 days after a lumbar epidural steroid injection. Under the impression of aseptic meningitis, fluid and nonsteroidal anti-inflammatory drug therapy was started immediately after cerebrospinal fluid (CSF) sampling. The CSF was turbid, and revealed a white blood cell count, protein, glucose and pressure of 550/μl (98% lymphocyte), 107.9 mg/dl, 48 mg/dl (serum 113 mg/dl) and 17 cmH2O, respectively. The CSF stain and culture, and antibody test and polymerase chain reaction for pathogens were negative. A computed tomography (CT) scan of the brain revealed no abnormality, and a chest roentgenogram and the results of the neurological examination were normal. Under the impression of aseptic meningitis, the condition was managed conservatively, without antibiotics. Seven days later, the clinical symptoms had improved, and the patient discharged.
참고문헌 (22)
- "Complications associated with epidural steroid injections", 21, pp.149~62 (1996)
- "Are bacterial filters needed in continuous epidural analgesia for obsterics", pp.351~4
- "The potential for contamination of continous epidural catheters", 56, pp.222~5 (1977)
- "Meningitis following a combined spinal-epidural technique in a labouring term parturient", 43, pp.399~402 (1996)
- "an increasing role for resistant viridans streptococci Case report and review of the last 20 years", 32, pp.693~6 (2000)
- "Post spinal meningitis and asepsis", 46, pp.639~46 (2002)
- "Drug-and chemical-induced aseptic meningitis:a review of the literature", 26, pp.813~22 (1992)
- "The use of blood glucose", cerebro-spinal fluid glucose ratio in the diagnosis of central nervous system infection in infants and children, 1992, pp.34, 191~8
- "Aseptic meningitis during combined continuous spinal and epidural analgesia", 47, pp.775~6 (2003)
- "Chemical meningitis following epidural injections of corticosteroids", 82, pp.570~ (1987)
- "Chemical meningitis related to intrathecal corticosteroid therapy.", 70, pp.1241~3 (1977)
- "Drug- induced aseptic meningitis", 3, pp.143~9 (2003)
- "Pharmacokinetics and pharmacodynamics of systemically administered glucocorticoids", 44, pp.61~98 (2005)
- "A complication of intrathecal administration of Depo-Medrol for multiple sclerosis", pp.1124~8, Vincent FM
- "Complications from intra-"
- "thecal steroid therapy in patients with multiple sclerosis", pp.176~88
- "Complications following intraspinal injections of steroids.Reports of two cases", 48, pp.1023~5 (1978)
- "Subarachnoid corticosteroid injection following inadequate response to epidural steroids for sciatica", 57, pp.313~5 (1978)
- "Aseptic meningitis following spinal anesthesia-a complication of the past", pp.674~7
- "Post-spinal meningitis and autoimmune encephalopathy", 46, pp.735~8 (2004)
- "Textbook of pain", pp.744~53 (1989), Churchill Livingstone
- "Acute bacterial meningitis after continuous epidural analgesia", 34, pp.1258~62 (1998)