Delayed occurrence of spinal arachnoiditis following a caudal block

Eun Hye Na, Soo Jeong Han, Myung Hyun Kim

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Context: Spinal arachnoiditis is a rare disease caused by fibrosis and adhesion of the arachnoid membrane due to chronic inflammation. The causes of arachnoiditis are infection, spinal surgery, intraspinal injection of steroid or myelography dye, and spinal anesthesia. Method: Case report. Findings: A 60-year-old woman presented with progressive weakness and sensory change of both legs and urinary symptoms. She had received a single caudal block 6 months before symptom onset. Magnetic resonance imaging of the thoraco-lumbar spine showed an intradural extramedullary tumor at the T5-T7 level. She underwent laminectomy and tumor resection. The pathological finding was arachnoiditis. After surgery, a rehabilitation program of strengthening exercises of both lower extremities and gait training was started. At 2-month follow-up, she was able to walk with orthoses and performed daily activities with minimal assistance. Conclusion: Symptoms of spinal arachnoiditis occurred 6 months after a single caudal block in this woman. Clinicians should be aware of this possible delayed complication.

Original languageEnglish
Pages (from-to)616-619
Number of pages4
JournalJournal of Spinal Cord Medicine
Volume34
Issue number6
DOIs
StatePublished - 2011

Keywords

  • Arachnoiditis
  • Caudal block
  • Intrathecal injection
  • Myelography
  • Myelopathy
  • Neurogenic bladder
  • Neurogenic bowel
  • Paraplegia
  • Rehabilitation
  • Spinal cord injuries
  • Spinal infection

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