Transient quadriplegia after fluoroscopic-guided selective cervical nerve root block in a patient who received cervical interbody fusion: A case report.
10.4097/kjae.2010.59.S.S95
- Author:
Mi Hyeon LEE
1
;
Young Deog CHA
;
Jang Ho SONG
;
Young Mi AN
;
Jeong Uk HAN
;
Du Ik LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Inha University Hospital, Incheon, Korea. ydchaan@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Anterior spinal artery syndrome;
Intrathecal injection;
Paralysis;
Spinal nerve root
- MeSH:
Adult;
Anterior Spinal Artery Syndrome;
Diskectomy;
Epidural Space;
Extremities;
Humans;
Injections, Spinal;
Male;
Paralysis;
Quadriplegia;
Radiculopathy;
Sensation;
Spinal Nerve Roots
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S95-S98
- CountryRepublic of Korea
- Language:English
-
Abstract:
Selective cervical nerve root block is executed for patients who have symptoms of cervical radiculopathy for diagnostic and therapeutic purposes. However several catastrophic complications caused by this procedure have been reported including neurological complications. A 43-year-old male received a C5 selective cervical nerve root block procedure due to continuous radiating pain even after cervical discectomy and interbody fusion was performed. At the time of the procedure, the contrast outline revealed reflux of the nerve root and epidural space. But after the procedure was performed, the patient experienced decreased sensation in the upper and low extremities as well as motor paralysis of both extremities. Our sspecting diagnosis was anterior spinal artery syndrome but both sensory and motor functions were subsequently recovered within a few hours after the procedure was completed. Due to the difficult nature of this case, we reported these complications and reviewed current literature related to this study.
