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Updated: Jun 8, 2026

Minimally Invasive Surgical Decompression of Occipital Nerves
Published on: September 13, 2024
A severe neurological event during a local anaesthesia phlebectomy
F Passariello1, E Farina, D L Neuhardt
1Centro Diagnostico Aquarius, Via Francesco Cilea 280, Napoli 80127, Italy. afunzionale@tiscalinet.it
Abstract:
A 58 year old female patient underwent an intervention of phlebectomy below the knee. The patient gradually developed a severe neurological event and the Glasgow Coma Score decreased dramatically. After two and a half hours from onset, general conditions gradually improved and recovered completely. Lidocaine neurotoxicity was excluded. A right side motor deficit strongly suggests a transient ischaemic attack. As to invasivity, phlebectomy can be compared with liquid and foam sclerotherapy so that the simple question arises of also comparing their adverse effects. We have the strong conviction that this case may only be a co-incidental association.
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