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Related Experiment Videos

Paraplegia following coeliac plexus block.

R T van Dongen1, B J Crul

  • 1Institute for Anesthesiology, University Hospital, Nijmegen, The Netherlands.

Anaesthesia
|October 1, 1991
PubMed
Summary

A coeliac plexus block using alcohol led to paraplegia in a patient. Spinal cord ischemia from damaged arterial blood supply was the suspected cause of this adverse event.

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Area of Science:

  • Interventional Radiology
  • Neurology
  • Pain Management

Background:

  • Coeliac plexus blocks are utilized for managing abdominal pain.
  • Alcohol is a neurolytic agent used in nerve blocks.
  • X-ray guidance is standard for coeliac plexus block procedures.

Observation:

  • A patient developed paraplegia following a coeliac plexus block with 48% alcohol.
  • The procedure was performed under X-ray control.

Findings:

  • The complication of paraplegia was observed post-procedure.
  • Spinal cord ischemia secondary to compromised arterial blood supply is hypothesized as the cause.

Implications:

  • This case highlights a rare but severe complication of coeliac plexus blocks.
  • It underscores the importance of understanding vascular anatomy and potential risks.
  • Careful patient selection and procedural monitoring are crucial to mitigate such risks.

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