[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 revealed that the pelvic tumor had spread to the lumbar epidural space and was causing motor blockade of both legs.
Ruiz Garés
T
T
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Clinico Universitario Lozano Blesa, Zaragoza.
Mateo
J M
JM
Longás Valién
J
J
Aisa Hernández
G
G
Cía Blasco
P
P
Cuartero Lobera
J
J
D000293:Adolescent; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004317:Doxorubicin / Q000008:administration & dosage; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness; D010264:Paraplegia / Q000209:etiology; D010386:Pelvic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D018233:Rhabdomyosarcoma, Embryonal / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology*; D013125:Spinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014750:Vincristine / Q000008:administration & dosage
D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide