Spinal cord compression by tumor with onset following epidural catheterization

We report the case of a 16-year-old boy with a pelvic tumor who developed signs of spinal cord compression following placement of a lumbar epidural catheter to obtain a percutaneous biopsy. The fact that a catheter had been inserted led us to suspect epidural hematoma as a complication, but surgery...

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Veröffentlicht in:	Revista española de anestesiología y reanimación 2008-02, Vol.55 (2), p.119
Hauptverfasser:	Ruiz Garés, T, Mateo, J M, Longás Valién, J, Aisa Hernández, G, Cía Blasco, P, Cuartero Lobera, J
Format:	Artikel
Sprache:	spa
Schlagworte:	Adolescent Analgesia, Epidural - adverse effects Antineoplastic Combined Chemotherapy Protocols - therapeutic use Biopsy Combined Modality Therapy Cyclophosphamide - administration & dosage Diagnosis, Differential Doxorubicin - administration & dosage Hematoma, Epidural, Spinal - diagnosis Hematoma, Epidural, Spinal - etiology Hematoma, Epidural, Spinal - surgery Humans Laminectomy Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Magnetic Resonance Imaging Male Neoplasm Invasiveness Paraplegia - etiology Pelvic Neoplasms - complications Pelvic Neoplasms - diagnostic imaging Pelvic Neoplasms - drug therapy Pelvic Neoplasms - surgery Rhabdomyosarcoma, Embryonal - complications Rhabdomyosarcoma, Embryonal - diagnosis Rhabdomyosarcoma, Embryonal - drug therapy Rhabdomyosarcoma, Embryonal - secondary Rhabdomyosarcoma, Embryonal - surgery Spinal Cord Compression - diagnosis Spinal Cord Compression - etiology Spinal Neoplasms - complications Spinal Neoplasms - diagnosis Spinal Neoplasms - drug therapy Spinal Neoplasms - secondary Spinal Neoplasms - surgery Tomography, X-Ray Computed Vincristine - administration & dosage
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Beschreibung
Zusammenfassung:	We report the case of a 16-year-old boy with a pelvic tumor who developed signs of spinal cord compression following placement of a lumbar epidural catheter to obtain a percutaneous biopsy. The fact that a catheter had been inserted led us to suspect epidural hematoma as a complication, but surgery revealed that the pelvic tumor had spread to the lumbar epidural space and was causing motor blockade of both legs.
ISSN:	0034-9356
DOI:	10.1016/S0034-9356(08)70520-6