在介膜性宫外周注射后产生的阴性宫脊髓损伤
Ranjeev Chabra1, Chun Maung2, Theresa Pazionis3
1Department of Physical Medicine and Rehabilitation, Temple University Hospital, Philadelphia, PA, 19140, USA.
Interventional pain medicine
|September 6, 2024
概括
宫外周注射 (CEI) 的灾难性并发症发生在一个患者身上,该患者之前曾经进行过合前椎切除术 (ACDF),导致神经缺陷. 仔细的手术前评估和技术对于在复杂的脊椎解剖学中减轻CEI相关风险至关重要.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 脊髓损伤 脊髓损伤 脊髓损伤
背景情况:
- 宫外周注射 (CEI) 是常见的程序.
- 前额前椎切除和融合 (ACDF) 改变了宫解剖学.
- 在先前患有ACDF的患者中,CEI后并发症的风险因素尚未确定.
研究的目的:
- 为了描述CEI的灾难性并发症在患者之前的ACDF.
- 识别可能导致并发症的潜在因素.
主要方法:
- 一个病例报告,一名患者在C7-T1处在最小镇静下接受了间层CEI.
- 术后神经学评估和MRI评估.
主要成果:
- 在CEI后,右半的立即发作,扩散性听觉障碍和触觉性全音症.
- 核磁共振扫描显示,由C3-T3.3造成的脊髓损伤.
- 潜在的促成因素包括术后的ACDF变化,带异常,重复性微创伤和外周腔空间妥协.
结论:
- 在患有先前ACDF的患者中,CEI具有重大风险.
- 持续穿刺和内在带损伤是潜在的并发症.
- 彻底的手术前评估和细致的技术对于预防严重不良事件至关重要.
相关概念视频
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