Persistent paraplegia after an aqueous 7.5% phenol solution to the anterior motor root for intercostal neurolysis: a case report.

Details

Serval ID
serval:BIB_066FB5CF62E3
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Persistent paraplegia after an aqueous 7.5% phenol solution to the anterior motor root for intercostal neurolysis: a case report.
Journal
Archives of Physical Medicine and Rehabilitation
Author(s)
Kowalewski R., Schurch B., Hodler J., Borgeat A.
ISSN
0003-9993 (Print)
ISSN-L
0003-9993
Publication state
Published
Issued date
2002
Volume
83
Number
2
Pages
283-285
Language
english
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Abstract
A 55-year-old white man with severe scoliosis and chest deformity was scheduled for an intercostal neurolysis for pain relief with 7.5% aqueous phenol solution. A 20 G needle was inserted 3 to 4cm lateral to the midline of the spine under the 10th right rib. After negative aspiration for blood and alcohol, 6mL of a 7.5% aqueous phenol solution was injected. Within a minute after the injection, the patient felt a warm sensation in his right leg, followed by loss of leg motor and sensory function on both sides. A lumbar puncture done 3.5 hours after the block showed a phenol concentration of 87.5 microg/mL. The most likely explanation is a diffusion of the phenol through the intervertebral foraminae reaching the spinal space and therefore damaging the motor and sensory roots. This case highlights the danger associated with phenol application in the vicinity of the spinal cord.
Keywords
Humans, Male, Middle Aged, Nerve Block/adverse effects, Pain/drug therapy, Paraplegia/chemically induced, Phenol/adverse effects, Sclerosing Solutions/adverse effects, Scoliosis/drug therapy
Pubmed
Web of science
Create date
05/11/2014 12:13
Last modification date
20/08/2019 12:28
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