2,724 results match your criteria Spinal Epidural Abscess
J Neurosurg Pediatr 2018 Jul 13:1-9. Epub 2018 Jul 13.
Division of Critical Care Medicine, Nationwide Children's Hospital.
OBJECTIVE Focal intracranial infections such as intraparenchymal abscesses or localized infections in the epidural or subdural spaces are relatively rare infections associated with both morbidity and mortality in children. Although children with these infections frequently require surgical intervention, there is a paucity of literature describing the critical care resources required to manage these cases. This retrospective chart review was performed to evaluate the resources necessary to care for critically ill children with focal intracranial infections at the authors' institution. Read More
Case Rep Obstet Gynecol 2018 11;2018:1797421. Epub 2018 Jun 11.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, Manhasset, NY, USA.
Spontaneous spinal epidural abscess (SEA) is a rare infection of the central nervous system. We report a case of a 25-year-old G3 P0020 at 36 weeks of gestational age with history of intravenous drug abuse presenting with acute-onset and severe back pain. Despite antibiotic therapy, pain worsened and she developed lower extremity weakness. Read More
Spine (Phila Pa 1976) 2018 Jul 3. Epub 2018 Jul 3.
Aster MIMS Hospital, Calicut, Kerala, India.
Study Design: Retrospective case series.
Objective: To report the immunosuppression and secondary bacterial infection after dengue viral infection and the predilection of these infection in the spine. This can trigger further research in to this fact. Read More
Case Rep Med 2018 24;2018:5247594. Epub 2018 May 24.
Clinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.
Ganglionic local opioid analgesia (GLOA) describes the application of low-dose opioids close to sympathetic as, for example, to the superior cervical ganglion. GLOA can be effective in different pain syndromes affecting the head and face region and has been considered to be a safe technique with few complications reported so far. We present the case of a patient who received a single, transoral GLOA for a refractory trigeminal neuralgia. Read More
Childs Nerv Syst 2018 Jul 3. Epub 2018 Jul 3.
Bombay Hospital Institute of Medical Sciences, Mumbai, India.
Pediatric spinal infection includes spinal epidural abscess, spondylodiscitis and intradural (extramedullary and intramedullary) spinal infections. However, these entities are extremely rare and no clear guidelines exist for their management. Pertinent literature was searched and a detailed narrative review of this topic is presented. Read More
New Microbes New Infect 2018 Jul 12;24:42-46. Epub 2018 Apr 12.
Paramedics College, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Some important adverse effects of local and regional anaesthesia including injection-site infection, epidural abscess and meningitis, are usually caused by bacteria such as and These infections can even cause the patient's death in severe cases. In the present study, the antimicrobial activity of tramadol was investigated on and in BALB/c-sensitive mice. This experimental multigroup research study evaluated the effect of two different concentrations of injectable tramadol (12. Read More
Spine (Phila Pa 1976) 2018 Jun 18. Epub 2018 Jun 18.
Department of Neurosurgery, The University of Illinois at Chicago, Chicago, IL.
Study Design: Observational analysis of retrospectively collected data.
Objective: A retrospective study was performed in order to compare the surgical profile of risk factors and perioperative complications for laminectomy and laminectomy with fusion procedures in the treatment of SEA.
Summary Of Background Data: Spinal epidural abscess (SEA) is a highly morbid condition typically presenting with back pain, fever, and neurologic deficits. Read More
J Bone Joint Surg Am 2018 Jun;100(12):1030-1038
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Background: Spinal epidural abscess is a high-risk condition that can lead to paralysis or death. It would be of clinical and prognostic utility to identify which subset of patients with spinal epidural abscess is likely to develop a motor deficit or die within 90 days of discharge.
Methods: We identified all patients ≥18 years of age who were admitted to our hospital system with a diagnosis of spinal epidural abscess during the period of 1993 to 2016. Read More
Can J Kidney Health Dis 2018 31;5:2054358118776325. Epub 2018 May 31.
Division of Nephrology, Institute of Health Policy, Management and Evaluation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Rationale: Staphylococcus-associated glomerulonephritis (SAGN) is a rare immune complex-mediated glomerulonephritis associated with active infection. We report a case illustrating the importance of clinical history and kidney biopsy findings in establishing the correct diagnosis.
Presenting Concerns Of The Patient: We report the case of a 64-year-old man with alcohol-associated cirrhosis, type 2 diabetes mellitus, and hypertension who presented to hospital with lower back and abdominal pain, rectal bleeding, a purpuric lower extremity rash, and oliguric acute kidney injury with microscopic hematuria and nephrotic-range proteinuria. Read More
BMJ Case Rep 2018 Jun 11;2018. Epub 2018 Jun 11.
Oral and Maxillofacial Surgery, University Hospital Salzburg, Salzburg, Austria.
Septic arthritis of the temporomandibular joint (TMJ) is rare, but patients with this diagnosis are at high risk for significant morbidity. We present a case of a 15-year-old man who presented with increasing trismus for 3 days. He had only minimal discomfort and swelling of the right cheek and temporal region, and pericoronitis of an impacted wisdom tooth was suspected. Read More
World Neurosurg 2018 Jun 5. Epub 2018 Jun 5.
Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Background: Spinal adhesive arachnoiditis (SAA) is an inflammatory process of the meninges. Cystic changes and cicatrisation may lead to neurological deficits and immobilization. Therapy is difficult and often unsatisfactory. Read More
World Neurosurg 2018 Jun 5. Epub 2018 Jun 5.
Department of Orthopedic Surgery, Navy General Hospital, Beijing, China. Electronic address:
Background: Cervical spondylodiscitis with spinal epidural abscess (SEA) is not a rare medical condition that usually requires urgent decompression of neural structures and stabilization of the spine followed by antibiotic therapy for prevention from severe neurological deficits.
Case Description: In this report, we present a 43-year-old male patient with the chief complaint of neck pain and intermittent fever accompanying by slight dysphagia. After two weeks, he felt mild and transient numbness on the left upper limb. Read More
Int J Pediatr Otorhinolaryngol 2018 Jul 11;110:147-151. Epub 2018 May 11.
University of Texas Southwestern Medical Center Department of Otolaryngology, United States; Children's Medical Center Dallas, United States.
Objective: To study the role of endoscopic sinus surgery (ESS) in the management of intracranial complications of children with acute rhinosinusitis METHODS: Retrospective chart review at a tertiary care pediatric hospital MAIN OUTCOMES: Demographics, intracranial complications, length of hospital stay (LOS), neurological sequelae, ESS, neurosurgical procedures RESULTS: Twenty-four children with a mean age (SD) of 12.9 years (+/-3.2) with an intracranial complication(s) of acute rhinosinusitis were identified between 2005-2016. Read More
J Neurosurg Pediatr 2018 May 25:1-6. Epub 2018 May 25.
Departments of 1 Neurological Surgery and.
Bartonella henselae is a gram-negative bacillus implicated in cat-scratch disease. Cat-scratch disease is usually self-limiting and results in local lymphadenopathy. In rare circumstances, patients may develop endocarditis, neuroretinitis, or osteomyelitis. Read More
Global Spine J 2018 May 20;8(3):279-285. Epub 2017 Jul 20.
University of Calgary, Calgary, Alberta, Canada.
Study Design: Retrospective cohort study.
Objectives: To test the external validity of the 2 published prediction criteria for failure of medical management in patients with spinal epidural abscess (SEA).
Methods: Patients with SEA over a 10-year period at a tertiary care center were identified using ICD-10 (International Classification of Diseases, 10th Revision) diagnostic codes; electronic and paper charts were reviewed. Read More
Korean J Neurotrauma 2018 Apr 30;14(1):20-23. Epub 2018 Apr 30.
Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
Objective: Acute hemiparesis is often an early presentation of acute ischemic stroke, though it can occur in various disorders. This study aimed to investigate the improper use of thrombolytic agents for patients with acute hemiparesis, following the misdiagnosis of acute ischemic stroke.
Methods: We analyzed the clinical and radiological data of nine patients initially misdiagnosed with cerebral stroke in the emergency room from May 2013 to January 2017. Read More
Pediatr Emerg Care 2018 May 2. Epub 2018 May 2.
From the Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
A 9-month-old healthy female presented during winter to the emergency department with a chief complaint of fever and prominent respiratory symptoms. She was discharged on oseltamivir with a presumptive diagnosis of influenza. She returned to the emergency department 2 days later with continued fever and more upper respiratory symptoms. Read More
Br J Neurosurg 2018 May 10:1-5. Epub 2018 May 10.
a Spine Surgery Unit, Department of Neurosurgery , Sheba Medical Center , Ramat-Gan , Israel.
Purpose: Application of the anterior sub-axial cervical approach to the axial spine or the high thoracic spine has been previously described. Evaluation methods to determine the feasibility of these approaches were also described but alternative method was utilized in the current study. We describe our experience expanding the boundaries of anterior cervical approach utilizing a novel algorithm for approach selection. Read More
Surg Neurol Int 2018 23;9:86. Epub 2018 Apr 23.
Professor of Clinical Neurosurgery, School of Medicine, State University of N.Y. at Stony Brook, New York, USA.
Background: Too many patients, with or without significant cervical disease, unnecessarily undergo cervical epidural steroid injections (CESIs). These include interlaminar (ICESI) and transforaminal ESI (TF-CESI) injections that are not Food and Drug Administration (FDA) approved, have no documented long-term efficacy, and carry severe risks and complications.
Methods: Here we reviewed recent reports of morbidity and mortality attributed to the various types of CESIS. Read More
Surg Neurol Int 2018 5;9:70. Epub 2018 Apr 5.
Department of Histopathology, Avicenne Military Hospital of Marrakech, Mohammed V University in Rabat, Rabat, Morocco.
Background: Surgical site infections following spinal surgery, including spinal abscesses, are rare but serious as they are major causes of morbidity, and even mortality. They are, however, rarely attributed to infected, retained surgical cottonoids or sponges (textiloma or gossypiboma) inadvertently left in an operative field.
Case Description: A 53-year-old female with a history of two prior spinal operations at the L4-S1 levels (11 and 2 years previously) presented over a few weeks with the acute onset of a cauda equina syndrome (e. Read More
Radiol Case Rep 2018 Jun 25;13(3):719-723. Epub 2018 Apr 25.
Department of Radiology, Akershus University Hospital, Akershus, Norway.
BMJ Case Rep 2018 Apr 25;2018. Epub 2018 Apr 25.
Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK.
Pott's puffy tumour (PPT) is characterised by a subperiosteal abscess associated with osteomyelitis of the frontal bone-a rare complication of frontal sinusitis, more common in the paediatric population. We describe a case mimicking PPT, where abscess extension was facilitated by previous surgery. Usually patients with PPT would be systemically unwell, but our patient, a 63-year-old Caucasian man, was systemically well with a large swelling of his forehead. Read More
IDCases 2018 11;12:107-111. Epub 2018 Apr 11.
Department of adult infectious diseases, Sheikh Khalifa Medical City, P.O. Box 51900, Abu Dhabi, United Arab Emirates.
Spinal epidural abscess (SEA) is an extremely rare and disastrous musculoskeletal complication of spondylodiscitis and sacroilitis secondary to brucellosis infection. Few case reports and retrospective studies have been published reporting patients with epidural abscesses mainly lumbar, and thoracic while cervical abscess are rare. Management of spinal epidural abscess due to species is not standard and remains controversial. Read More
Asian J Neurosurg 2018 Apr-Jun;13(2):440-441
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Dr. RML Hospital, New Delhi, India.
Pneumorrhachis (PR) - the phenomenon of intraspinal air - is a rare radiological finding. The presence of intraspinal air is usually after epidural injections, spinal manipulations, synovial cysts, degenerative disc disease, and epidural abscess. PR is mostly asymptomatic but can also be symptomatic. Read More
Case Rep Orthop 2018 18;2018:9076509. Epub 2018 Feb 18.
Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Symptomatic ossification of the anterior longitudinal ligament (OALL) is rare. However, when the osteophyte enlarges and obstructive symptoms occur, the patient may require surgery. We present a case of pyogenic spondylitis caused by methicillin-resistant associated with tracheostomy followed by resection of OALL. Read More
BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.
Department of Anesthesia and Critical Care, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
A 26-year-old man with history of extensive tophaceous gout presented to the referring facility with decreased bilateral lower extremity sensation and motor function that began acutely 1 week prior to admission and had progressed to urinary incontinence. The patient was admitted to the intensive care unit due to concern for sepsis secondary to epidural abscess. The patient was started on empiric vancomycin and cefepime. Read More
Skeletal Radiol 2018 Apr 14. Epub 2018 Apr 14.
Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, 2nd Floor Tower Wing, Great Maze Pond, London, SE1 9RT, UK.
Objective: Very few reports have previously described spondylodiscitis as a potential complication of endovascular aortic aneurysm repair (EVAR). We present to our knowledge the first case series of spondylodiscitis following EVAR based on our institution's experience over an 11-year period. Particular attention is paid to the key imaging features and challenges encountered when performing spinal imaging in this complex patient group. Read More
Spine J 2018 Apr 9. Epub 2018 Apr 9.
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:
Background Context: Recurrence of spinal epidural abscess (SEA) after treatment is an important cause of continued morbidity for patients.
Purpose: The purpose of this study is to identify independent predictors of recurrence of SEA.
Study Design/setting: This was a retrospective, case-control study. Read More
Indian J Nucl Med 2018 Apr-Jun;33(2):158-160
Department of Nuclear Medicine, University Hospital Infanta Cristina, Badajoz, Spain.
Gout is a common metabolic disorder, typically diagnosed in peripheral joints. Tophaceous deposits in lumbar spine are a very rare condition with very few cases reported in literature. The following is a case report of a 52-year-old patient with low back pain, left leg pain, and numbness. Read More
Clin Med (Lond) 2018 Mar;18(2):150-154
Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
Bone and joint infections include septic arthritis, prosthetic joint infections, osteomyelitis, spinal infections (discitis, vertebral osteomyelitis and epidural abscess) and diabetic foot osteomyelitis. All of these may present through the acute medical take. This article discusses the pathogenesis of infection and highlights the importance of taking a careful history and fully examining the patient. Read More
J Bone Joint Surg Am 2018 Apr;100(7):546-555
Department of Orthopaedic Surgery (A.A.S., P.T.O., M.B.H., and J.H.S.) and Division of Infectious Diseases (S.B.N.), Massachusetts General Hospital, Boston, Massachusetts.
Background: Prompt diagnosis and treatment are critical in spinal epidural abscess, as delay can lead to paralysis or death. The initial management decision for spinal epidural abscess is not always clear, with the literature showing conflicting results. When considering nonoperative management, it is crucial to avoid failure of treatment, given the neurologic compromise incurred through failure. Read More
Clin Spine Surg 2018 Jul;31(6):225-238
Department of Medical Imaging and Intervention, Chang-Gung Memorial Hospital at Linkou and Chang-Gung University, Taoyuan, Taiwan.
Surgical site infections after posterior spinal surgery may lead to spondylodiscitis, pseudarthrosis, correction loss, adverse neurological sequelae, sepsis, and poor outcomes if not treated immediately. Infection rates vary depending on the type and extent of operative procedures, use of instrumentation, and patients' risk factors. Image evaluation is crucial for early diagnosis and should be complementary to clinical routes, laboratory survey, and treatment timing. Read More
J Int Med Res 2018 Jun 27;46(6):2461-2465. Epub 2018 Mar 27.
1 Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China.
Objective We herein present a case involving a prevertebral abscess complicated by a spinal epidural abscess (SEA) secondary to intradiscal oxygen-ozone chemonucleolysis for treatment of a cervical disc herniation. Methods A 67-year-old woman with a history of intradiscal oxygen-ozone chemonucleolysis developed numbness and weakness in her right upper and bilateral lower extremities followed by urinary retention. Her symptoms did not respond to intravenous antibiotics alone. Read More
Spinal Cord Ser Cases 2018 21;4:23. Epub 2018 Mar 21.
1Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, USA.
Introduction: Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis.
Case Presentation: We present a case of a 67-year-old female in an acute rehabilitation setting who had presenting symptoms of sudden unexplained back pain refractory to pain control. She had a previous history of discitis and multiple failed knee replacement surgeries secondary to MSSA infections. Read More
Br J Anaesth 2018 Apr 15;120(4):693-704. Epub 2018 Feb 15.
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Although rare, spinal haematoma and abscess after central neuraxial blocks may cause severe permanent neurological injury. Optimal treatment and outcome remain unclear. In order to identify possible predisposing patient characteristics and describe the ensuing clinical course, we searched Medline, Embase, and the Cochrane Library for reports of spinal haematomas and abscesses associated with central neuraxial blocks. Read More
Acta Gastroenterol Belg 2017 Jul-Sep;80(3):381-384
Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, 330-0834, Japan.
Backgrounds And Aims: Epidural analgesia is an option for pain control in patients with acute pancreatitis. The aim of this study is to describe characteristics, morbidity and mortality of patients with acute pancreatitis treated with epidural analgesia.
Patients And Methods: Data was extracted from a national inpatient database in Japan on patients hospitalized with acute pancreatitis between July 2010 and March 2013. Read More
West J Emerg Med 2018 Mar 12;19(2):276-281. Epub 2018 Feb 12.
University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.
Introduction: Spinal epidural abscess (SEA), a highly morbid and potentially lethal deep tissue infection of the central nervous system has more than tripled in incidence over the past decade. Early recognition at the point of initial clinical presentation may prevent irreversible neurologic injury or other serious, adverse outcomes. To facilitate early recognition of SEA, we developed a predictive scoring model. Read More
Oper Neurosurg (Hagerstown) 2018 Mar 14. Epub 2018 Mar 14.
University of Illinois at Chicago, Chicago, Illinois.
Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More
Emerg Radiol 2018 Aug 15;25(4):331-340. Epub 2018 Mar 15.
Department of Radiology, Division of Emergency Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY, 10467, USA.
Intracranial gas is commonly detected on neuroimaging. The recognition of this finding can at first blush be unsettling. Being able to localize this gas to a specific compartment: intraarterial, intravenous, intraparenchymal, subdural, epidural, subarachnoid and intraventricular, is the first step in determining the importance of the gas. Read More
Eur Arch Otorhinolaryngol 2018 May 13;275(5):1165-1173. Epub 2018 Mar 13.
Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznań, Poland.
Purpose: The objective of this study was to analyse 51 patients with intracranial complications of sinusitis treated in the Department of Otolaryngology and Laryngeal Oncology at Poznań University of Medical Sciences from 1964 to 2016.
Materials And Methods: Males made up a significant portion of study participants at 70.5%. Read More
BMC Surg 2018 Mar 13;18(1):16. Epub 2018 Mar 13.
Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
Background: Here we report a rare case of lumbar spine epidural abscess and facet joint septic arthritis caused by Streptococcus agalactiae, which had spread to the iliopsoas muscles, leading to urine retention.
Case Presentation: A 68-year-old woman with low back pain experienced a sudden onset of bilateral lower limb weakness, it was followed 14 days later by urine retention. At consultation, magnetic resonance imaging and identification of serum β-hemolytic streptococci provided a diagnosis of Streptococcus agalactiae infection. Read More
Spinal Cord Ser Cases 2018 7;4:19. Epub 2018 Mar 7.
1Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA USA.
Study Design: In this review, we present a case of spinal epidural abscess (ASEA) and review the literature.
Objectives: To provide further insight on a rare condition.
Setting: A description of a patient with ASEA in a 58-year-old woman that was successfully treated with conservative management is presented. Read More
SICOT J 2018 9;4. Epub 2018 Mar 9.
Medical City Complex, Baghdad, Iraq.
Introduction: Spinal Epidural abscess (SEA) is an uncommon pathology that needs an urgent intervention to decompress the pressure on the spinal epidural sac, cord, and roots. The authors report a rare case of a young adult with lumbar spinal epidural tuberculous abscess occupying the spinal canal from L2-L5 vertebrae with extesion to the posterior paraspinal muscles and presenting with bilateral progressive lower limb weakness. Case report: A 42 years old male teacher presented with a 15-day history of progressive difficulty to walking and bilateral lower limb weakness associated with fever, malaise and later on urinary incontinence. Read More
Pain Pract 2018 Mar 8. Epub 2018 Mar 8.
Department of Anesthesiology and Pain Medicine, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
Background: Spinal cord stimulation (SCS) can be beneficial for low back and radicular pain. A short trial of SCS evaluates the potential effectiveness of this therapy for a specific patient, while also decreasing the likelihood of a failed permanent implant. While rare, an epidural abscess is difficult to diagnose based on its nonspecific and unreliable clinical presentation. Read More
Spine J 2018 Feb 26. Epub 2018 Feb 26.
Department of Orthopedic Surgery, Kurume University Hospital, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan.
Background Context: Patients with infective spondylodiscitis who failed conservative treatment are generally indicated for open surgery. However, some patients are poor candidates for standard surgery, hence the need to evaluate less invasive approaches. Good outcomes were previously reported for percutaneous suction aspiration and drainage (PSAD) in the treatment of infective spondylodiscitis resistant to conservative therapy. Read More
BMJ Case Rep 2018 Feb 23;2018. Epub 2018 Feb 23.
Department of Surgery, Franciscus Vlietland, Schiedam.
A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Read More
Zhongguo Gu Shang 2017 Dec;30(12):1151-1154
Nanjing University of Chinese Medcine, Nanjing 210000, Jiangsu, China;
JA Clin Rep 2017 29;3(1):45. Epub 2017 Aug 29.
2Department of Anesthesia, Ohnishi Neurological Center, 1661-1 Eigashima Ookubo-cho, Akashi, Hyogo 674-0064 Japan.
Background: Minimally invasive cardiac surgery (MICS), via minithoracotomy, is thought to be a fast track to extubation and recovery after surgery. For this, good coverage analgesia is essential. Epidural anesthesia, a standard technique for thoracic surgery, has high risk of complications, such as epidural abscess and spinal hematoma in open-heart surgery. Read More