Motor Neuron Diseases Accompanying Spinal Stenosis: A Case Study
HyeonJu Shin1, Sun Kyung Park1, Suh HaeJin2
1Department of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul.
Pain Physician
|March 24, 2016
Summary
A healthy man developed motor neuron disease after a lumbar epidural block, leading to respiratory failure and death. Post-epidural block neurological symptoms require thorough investigation to determine the cause.
Area of Science:
- Neurology
- Neurosurgery
Background:
- A 75-year-old male presented with bilateral lower limb pain and numbness.
- He had pre-existing L4/5 moderate right foraminal stenosis and right subarticular disc protrusion.
Observation:
- The patient received a lumbar epidural block for his symptoms.
- Two days post-procedure, he developed severe right lower limb weakness.
Findings:
- Diagnostic workup including MRI and electrodiagnostic studies revealed motor neuron disease.
- The patient ultimately succumbed to respiratory failure secondary to motor neuron disease four months later.
Implications:
- This case highlights the importance of investigating new neurological symptoms post-epidural block.
- Prompt and thorough evaluation is crucial to identify potential underlying causes or complications.
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