The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Transient Unilateral Paraplegia after Splanchnic Nerve Block

내장 신경 차단후 생긴 일시적 편측 하지마비

  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Kim, Kab-Soo (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Chung, So-Young (Department of Anesthesiology, Yonsei University College of Medicine)
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 김갑수 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실) ;
  • 정소영 (연세대학교 의과대학 마취과학교실)
  • Published : 1993.05.22
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Abstract

Two cases are described transient unilateral paraplegia following a splanchnic nerve block (SNB) among 683 procedures in 708 patients from 1968 to 1992. The first case, 64 year-old male, had bilteral splanchnic nerve block twice with pure alcohol 4 months and 2month ago. The paraparesis of right leg was developed 4 minutes after the pure alcohol injection during the third SNB and was completely recovered after 37 minutes. The second case, 60 year-old male, had also a first SNB with temporary relief of pain for a week. The Second SNB with 95% alcohol was followed by paraplegia of left leg. He showed almost complete improvement but expired 18 days later. The probable cause was the spread of alcohol onto the lumbar plexus or paravertebral space unilaterally, because of adhesion or paravertebral space due to previous alcohol injections.

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