• Pain physician · Mar 2016

    Case Reports

    Motor Neuron Diseases Accompanying Spinal Stenosis: A Case Study.

    • HyeonJu Shin, Sun Kyung Park, Suh HaeJin, and Yun Suk Choi.
    • Department of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul.
    • Pain Physician. 2016 Mar 1; 19 (3): E455-8.

    AbstractA 75-year-old man, who was healthy, visited the hospital because of shooting pain and numbness in both lower limbs (right > left). The patient had an L4/5 moderate right foraminal stenosis and right subarticular disc protrusion and received a lumbar epidural block. The patient experienced severe weakness in the right lower limb after 2 days. Lumbar and cervical magnetic resonance images were taken and electromyography and a nerve conduction study were performed to arrive at the diagnosis of a motor neuron disease. The patient expired 4 months later with respiratory failure due to motor neuron disease. This case suggests that any abnormal neurological symptoms that occur after an epidural block should be examined thoroughly via testing and consultations to identify the cause of the symptoms.

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