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http://dx.doi.org/10.3344/kjp.2018.31.1.50

Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma  

Oguz, Gonca (Department of Anesthesiology, Pain and Palliative Care Clinic, Dr AY Ankara Oncology Education and Research Hospital)
Senel, Gulcin (Department of Anesthesiology, Pain and Palliative Care Clinic, Dr AY Ankara Oncology Education and Research Hospital)
Kocak, Nesteren (Department of Anesthesiology, Pain and Palliative Care Clinic, Dr AY Ankara Oncology Education and Research Hospital)
Publication Information
The Korean Journal of Pain / v.31, no.1, 2018 , pp. 50-53 More about this Journal
Abstract
We present a patient with metastatic colon carcinoma who developed paraplegia following a neurolytic splanchnic block. A 41-year old man with metastatic adenocarcinoma of the colon received a splanchnic neurolytic block using alcohol because of severe abdominal pain. Bilateral motor weakness and a sensorial deficit in both legs developed after the procedure. Diffusion magnetic resonance imaging revealed spinal cord ischemia between T8 and L1. The motor and sensorial deficits were almost completely resolved at the end of the third month. We think that anterior spinal artery syndrome due to reversible spasms of the lumbar radicular arteries using alcohol have resulted in transient paraplegia. The retrograde spread of alcohol to neural structures may have also contributed.
Keywords
Alcohol; Cancer; Complication; Pain; Paraplegia; Splanchnic block;
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Times Cited By KSCI : 1  (Citation Analysis)
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