title: Paraplegia following intercostal nerve neurolysis with alcohol and thoracic epidural injection in lung cancer patient.
abstract: The goal of cancer treatment is generally pain reduction and function recovery. However, drug therapy does not treat pain adequately in approximately 43% of patients, and the latter may have to undergo a nerve block or neurolysis. In the case reported here, a 42-year-old female patient with lung cancer (adenocarcinoma) developed paraplegia after receiving T8-10 and 11(th) intercostal nerve neurolysis and T9-10 interlaminar epidural steroid injections. An MRI results revealed extensive swelling of the spinal cord between the T4 spinal cord and conus medullaris, and T5, 7-11, and L1 bone metastasis. Although steroid therapy was administered, the paraplegia did not improve.
authors: Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
authors: Byoung Ho
authors: BH
authors: Kim
authors: Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
authors: Min Young
authors: MY
authors: No
authors: Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
authors: Sang Ju
authors: SJ
authors: Han
authors: Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
authors: Cheol Hwan
authors: CH
authors: Park
authors: Department of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, Korea.
authors: Jae Hun
authors: JH
authors: Kim
keywords: Intercostal nerve block; Lung cancer pain; Neurolysis; Paraplegia; Spinal cord infarction; Thoracic epidural injection