Related Experiment Videos
[Reversible partial paraplegia after sympathetic lumbar block]
M Echenique Elizondo1, C Gurutz Linazasoro
1Facultad de Medicina, Universidad del País Vasco, San Sebastián.
Neurologia (Barcelona, Spain)
|February 1, 1995
Summary
A rare case of left-sided paraplegia following chemical lumbar sympathectomy showed almost complete recovery. The paralysis was likely caused by ischemic myelopathy resulting from damage to the artery of Adamkiewicz during the procedure.
Area of Science:
- Neurology
- Vascular Surgery
Background:
- Chemical lumbar sympathectomy is a procedure used to treat various vascular conditions.
- Complications, though rare, can occur, impacting neurological function.
Observation:
- A patient developed left-sided paraplegia after undergoing a chemical lumbar sympathectomy.
- The neurological deficit was significant, affecting motor function on the left side.
Findings:
- The paraplegia was attributed to ischemic myelopathy, likely stemming from spasm or direct injury to the artery of Adamkiewicz.
- This critical artery supplies the spinal cord, and its compromise can lead to severe neurological deficits.
Implications:
- This case highlights a potential severe neurological complication of chemical lumbar sympathectomy.
- Understanding the vascular anatomy, particularly the artery of Adamkiewicz, is crucial for minimizing risks during this procedure.
- Prompt recognition and management of ischemic events may improve patient outcomes, as suggested by the near-total recovery observed.