One Case Report on Physical Sequelas after Spinal Epidural Abscess Surgery

척추 경막외 농양 수술 후유증 치험 1례

  • Received : 2014.09.17
  • Accepted : 2014.10.07
  • Published : 2014.10.31

Abstract

The objective of this study is to report the improvement of one patient with physical sequelas induced by spinal epidural abscess surgery. The patient was treated by acupuncture therapy with pulsed electromagnetic therapy and herb medicine. We evaluated the effectiveness by numerical rating scale (NRS). As a result, the patient improved significantly NRS score. And the patient's symptoms were alleviated. We guess that the causes of the patient symptoms are chronic inflammation and fibrosis of dural. We conclude that acupuncture therapy with pulsed electromagnetic therapy is an effective treatment to reduce the residual pain after spinal epidural abscess surgery. But there is a limit on this study due to sufficient number of case. Further studies will be needed.

Keywords

Spinal epidural abscess;Dural chronic inflammation;Dural fibrosis;Pulsed electromagnetic therapy

References

  1. 박예수, 백승욱, 오정한, 김홍식. 경막 파열이 동반된 경막외 농양 환자에서 발생한 경막하 농양. 대한정형외과학회지. 2011;46(6):518-22.
  2. 최원태, 최보열, 이정웅, 문명상. 화농성 척추 경막외 농양 -1예보고-. 대한정형외과학회지. 2002;37(2):319-23.
  3. 김창재, 정미영, 채준석, 이병호, 정재철. 요추 경막외 차단후 발견한 경막외 농양과 요근농양 -증례보고-. 대한마취과학회지. 2006;51(1):109-11.
  4. 박종석, 권희, 조양범, 유재응, 손치수, 송준민, 김연일, 최창욱. 침술요법 후 발생한 요추 경막외 및 경막하 농양 -1예 보고-. 대한정형외과학회지. 2000;35(1):181-4.
  5. Marc Tompkins, Ian Panuncialman, Phillip Lucas, Mark Palumbo. Spinal Epidural Abscess. The Journal of Emergency Medicine. 2010;39(3):384-90. https://doi.org/10.1016/j.jemermed.2009.11.001
  6. 이평복, 김용철, 이상철. 만성 요통 환자에서 박동성 전자기장 치료의 효과 - 무작위, 이중맹검, 위약대조법을 이용한 연구. 대한통증학회지. 2005;18(1):43-47.
  7. 전국한의과대학사상의학교실. 四象醫學 改訂增補. 서울:집문당. 2008:713,717.
  8. 심성윤, 박히준, 이준무, 이향숙. 통증평가도구에 관한 고찰. 대한경락경혈학회지. 2007;24(2):77-97.
  9. J. H. Cyriax. Cyriaxs Illustrated Manual of Orthopaedic Medicine second edition, 서울:영문출판사. 1998:144.
  10. Robert Maigne. Diagnosis and Treatment of Pain of Vertebral Origin. 서울:군자출판사. 2008:39-40.
  11. Phillip S. Sizer Jr., Valerie Phelps, Greg Dedrick, Omer Matthijs. Differential Diagnosis and Management of Spinal Nerve Root-related Pain. Pain Practice. 2002;2(2):98-121. https://doi.org/10.1046/j.1533-2500.2002.02012.x
  12. Ludwig Ombregt, Pierre Bisschop, Herman J. ter Veer. A System of Orthopaedic Medicine. 서울:한미의학 2008:716, 754.
  13. 오세철, 이은경, 김국현, 윤건중. 경피적 척추성형술 후 발생한 경막외농양. 대한통증학회지. 2005;18(2):235-9.
  14. E. Reihsaus, H. Waldbaur, W.Seeling. Spinal Epidural Abscess: a Meta-analysis of 915 Patients. Neurosurg Rev. 2000;23(4):175-204. https://doi.org/10.1007/PL00011954
  15. Frank R. Avilucea, Alpesh A. Patel. Epidural Infection: Is It Really an abscess?. A supplement to Surgical Neurology International. 2012;3(5):370-6. https://doi.org/10.4103/2152-7806.103871
  16. Khanna RK, Malik GM, Rock JP, Rosenblum ML. Spinal Epidural Abscess: Evaluation of Factors Influencing Outcome. Neurosurgery. 1996;39(5):958-64.
  17. Mehdi Zeinalizadeh, Seyed Mojtaba Miri, Farid Azmoodeh Ardalan, Farid Maleki, Marjan Zakeri, Elham Aghajanzadeh, Zohreh Habibi. Reduction of epidural fibrosis and dural adhesions after lamina reconstruction by absorbable cement: an experimental study. The spine Jounal. 2014;14(1):113-8. https://doi.org/10.1016/j.spinee.2013.06.065
  18. 은종신, 채윤정, 조혜원, 김재형, 김진수, 김찬. 만성 통증환자에서 Pulsed electromagnetic fields (PEMF) therapy의 유용성. 대한통증의학회지. 2004;17(2):141-5.
  19. Jacqueline Fishie, Adrian White. Medical Acupuncture - A western Scientific Approach. 서울:척추신경추나의학회 2008:142,346.