Epiduroscopy 施行時に頭痛を訴えた2症例
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- 上野 博司
- Department of Anesthesiology, Kyoto Prefectural University of Medicine
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- 細川 豊史
- Department of Anesthesiology, Kyoto Prefectural University of Medicine
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- 山下 智充
- Department of Anesthesiology, Kyoto Prefectural University of Medicine
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- 廣瀬 宗孝
- Department of Anesthesiology, Kyoto Prefectural University of Medicine
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- 水野 省司
- Department of Anesthesia, Aichi Prefectural Colony Central Hospital
書誌事項
- タイトル別名
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- Two Cases of Intraoperative Headache during Epiduroscopic Adhenolysis
抄録
Percutaneous epiduroscopic adhenolysis is recently indicated in cases with low back pain resistant to drug therapy or various kinds of nerve blockades. Because a large quantity of physiologic saline is injected into the epidural space during the procedure, cerebrospinal pressure elevates. Therefore, some complications such as cervicodynia, headache, convulsion and retinal hemorrhage have been reported. We inserted the epidural catheter at the level of C6/7, and monitored the epidural pressure intraoperatively in order to investigate the relation between headache and cervical epidural pressure. We examined the cervical epidural pressure curves in two cases of cervicodynia with headache during the procedure. These symptoms occurred when the epidural pressure elevated over 80mmHg due to the body movement caused by severe pain during adhenolysis, or due to the bolus injection of saline following adhenolysis. This transient elevation of epidural pressure returned to the baseline level within a couple of minutes after stopping the saline injection. These results suggest that monitoring cervical epidural pressure during epiduroscopy is useful to predict the complications of elevated cerebrospinal pressure and clarify the mechanisms involved.
収録刊行物
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- 日本ペインクリニック学会誌
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日本ペインクリニック学会誌 9 (4), 446-450, 2002
一般社団法人 日本ペインクリニック学会
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詳細情報 詳細情報について
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- CRID
- 1390282679436058496
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- NII論文ID
- 130004085960
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- ISSN
- 18841791
- 13404903
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
