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Paraplegia after coeliac plexus block.

M J Woodham1, M H Hanna

  • 1Pain Relief Unit, King's College Hospital, Denmark Hill, London.

Anaesthesia
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

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Paraplegia developed after a celiac plexus block using alcohol, likely due to damage to the artery of Adamkiewicz causing spinal cord ischemia. This rare complication is challenging to prevent.

Area of Science:

  • Neurology
  • Interventional Radiology
  • Pain Management

Background:

  • Celiac plexus blocks are used for abdominal pain management.
  • Alcohol injections are a method for neurolysis of the celiac plexus.
  • Complications, though rare, require careful consideration.

Observation:

  • A patient developed paraplegia post-celiac plexus block.
  • The procedure involved 90% alcohol injection under X-ray guidance.
  • The onset of paraplegia suggests a neurological complication.

Findings:

  • The likely cause of paraplegia was an ischemic injury to the spinal cord.
  • Damage to the artery of Adamkiewicz is implicated as the source of ischemia.
  • This specific complication is a rare but severe outcome.

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Implications:

  • Highlights the risks associated with alcohol-based neurolysis.
  • Suggests potential for inadvertent vascular injury during the procedure.
  • Underscores the difficulty in avoiding this rare neurological complication.