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Palliative Medicine
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Epidural complications and a case of malignant meningitis

AL Jennings

Pembridge Palliative Care Centre, St Charles Hospital, London

MP Rothwell

St Mary's Hospital, London

A. Naysmith

St Charles Hospital, London

We report a case in which the signs of a malignant meningitis could have been confused with complications of an in-dwelling epidural catheter which was being used for analgesia. This confusion could have had disastrous implications for the patient's pain relief. We also discuss some of the issues and problems surrounding the use of in-dwelling epidurals in terminal care patients.

Key Words: analgesia • epidural • epidural space • meningitis • neoplasms • pain • intractable • palliative care

Palliative Medicine, Vol. 11, No. 6, 483-486 (1997)
DOI: 10.1177/026921639701100609
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R. G. Wheatley, S. A. Schug, and D. Watson
Safety and efficacy of postoperative epidural analgesia
Br. J. Anaesth., July 1, 2001; 87(1): 47 - 61.
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