Knotting of a Cervical Epidural Catheter in the Patient with Post-Herpetic Neuralgia: A Rare Complication
نویسندگان
چکیده
Epidural block is achieved either by single injection of local anesthetic through an epidural needle or as a continuous block by infusion pump through an epidural catheter. Complications associated with epidural catheters include breakage, entrapment, and knotting. Knotting of epidural catheters is very rare, but knotting in lumbar epidural catheters has been reported in a number of studies, and most of these cases involved removal difficulty. We report a case in which we inserted a cervical epidural catheter in a patient who was experiencing severe post-herpetic neuralgia and then removed the knotted catheter without complications.
منابع مشابه
Acupuncture in post herpetic neuralgia
Post herpetic neuralgia is a chronic neuropathic pain syndrome that it is characterized by pain in the area of the nerve involved distribution after the disappearance of herpes zoster lesions and it may be persistent, refractory and severe. Various treatments including medication, Botox injections, nerve block and physical modalities have been used in the treatment of this syndrome, each has ...
متن کاملKnotting of an epidural catheter: a rare complication.
Knotting of an epidural catheter leading to entrapment is a rare complication of epidural catheterization. A lumbar epidural catheter inserted in a 28-year-old woman for caesarean section anesthesia and postoperative analgesia proved difficult to remove. After multiple attempts and placing the patient in the same position as when the catheter was initially inserted, the entrapped catheter was d...
متن کاملSafety and efficacy of Capsaicin gel in painful and pruritic dermatoses: Post-Herpetic neuralgia, Notalgia Paresthetica, Lichen simplex chronicus
Background: Pain and pruritus are two common symptoms in dermatology that are transmitted with unmyelinated C fibers via substance P. Topical capsaicin is effective due to depletion of never endings from substance P. Objective: The efficacy and side effects capsaicin gel in painful and pruritic skin disorders was compared to placebo. Patients and Methods: In a controlled clinical trial, 4...
متن کاملFacial skin injury caused by acrylate-based adhesive tapes in a post-menopausal patient: A preventable cause
1. Paediatric Epidural and Caudal Analgesia and Anaesthesia in Children. NYSORA; 2014. Available from: http://www. anes-som.ucsd.edu/Intranet/Peds_Resources/Regional/. [Last cited on 2015 Oct 24]. 2. Pinciroli R, Fumagalli R. The unexpected epidural: A case report. BMC Anesthesiol 2015;15:83. 3. Joselyn A, Bhalla T, Schloss B, Martin D, Tobias J. A case report of a retained and knotted caudal c...
متن کاملAcute Epidural Hematoma after Ventriculoperitoneal Shunt Insertion: a Case Report
Background & Importance: Acute epidural hematoma is a very rare complication of ventriculoperitoneal shunt insertion. The insertion of a ventriculoperitoneal shunt can cause sudden decompression of the brain, subsequent to which epidural hematoma occurs due to CSF drainage. To our knowledge, there are only a few cases of acute epidural hematoma in the literature which required acute e...
متن کامل