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[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
PubMed
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.

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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.

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  • 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.