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conferenceseries
.com
Pain Medicine 2017
October 19-20, 2017
Volume 6, Issue 6 (Suppl)
J Pain Relief, an open access journal
ISSN: 2167-0846
October 19-20, 2017 San Francisco, USA
4
th
International Conference on
Pain Medicine
Spinal cord injury after percutaneous epidural neuroplasty with anticoagulation therapy in elderly patient
Jae-Hyung Kim
Catholic Kwan-dong University, South Korea
T
he occurrence of symptomatic epidural hematoma following percutaneous epidural neuroplasty (PEN) is a very rare but serious
complication. This report is to inform a case of patient who developed a severe bleeding complication associated with PEN in
elderly person. An 80-year-old man with a history of congestive heart failure and atrial fibrillation, on warfarin treatment, presented
with posterior neck pain at C6-7 level was admitted. Ten days have passed since we stopped oral warfarin. He received PEN for pain
control. He was damaged the thoracic spinal cord due to epidural hematoma by epidural catheter. Neurological examination revealed
T5 (sensory level) incomplete paraplegia (AISA-B). At that time, whole spine MRI demonstrated posterior epidural hematoma (T1-
T12) with mild compression of thecal sac and inhomogeneous signal and contrast enhancement in all pulse sequences. After 3 days
later, he underwent posterior decompression surgery at T3-6 level for hematoma evacuation. He suffered from both lower limb
weakness and neurogenic bladder symptoms. After spinal cord injury rehabilitation for 6 months, motor weakness and bladder
function were partially recovered to ASIA-C. The modified Bathel Index score was increased from 39 to 75. We think, in elderly
person, it needs much longer discontinuation period of oral warfarin for invasive procedure like PEN.
Biography
Jae-Hyung Kim has completed his PhD from Kyung-Hee University in Korea (South) and he has studied from Stanford University School of Medicine in USA as visiting
scholar in 2015. He has been working as a Professor, Kwan-dong University School of Medicine. He has published more than 30 papers in reputed journals.
rehabkjh@ish.ac.krJae-Hyung Kim, J Pain Relief 2017, 6:6 (Suppl)
DOI: 10.4172/2167-0846-C1-018