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

Détails

ID Serval
serval:BIB_066FB5CF62E3
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Persistent paraplegia after an aqueous 7.5% phenol solution to the anterior motor root for intercostal neurolysis: a case report.
Périodique
Archives of Physical Medicine and Rehabilitation
Auteur(s)
Kowalewski R., Schurch B., Hodler J., Borgeat A.
ISSN
0003-9993 (Print)
ISSN-L
0003-9993
Statut éditorial
Publié
Date de publication
2002
Volume
83
Numéro
2
Pages
283-285
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
05/11/2014 12:13
Dernière modification de la notice
20/08/2019 12:28
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