Titre
Persistent paraplegia after an aqueous 7.5% phenol solution to the anterior motor root for intercostal neurolysis: a case report.
Type
étude de cas
Institution
Externe
Auteur(s)
Kowalewski, R.
Auteure/Auteur
Schurch, B.
Auteure/Auteur
Hodler, J.
Auteure/Auteur
Borgeat, A.
Auteure/Auteur
Liens vers les personnes
ISSN
0003-9993
Statut éditorial
Publié
Date de publication
2002
Volume
83
Numéro
2
Première page
283
Dernière page/numéro d’article
285
Langue
anglais
Notes
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
Résumé
A 55-year-old white man with severe scoliosis and chest deformity was scheduled for an intercostal neurolysis for pain relief with 7.5% aqueous phenol solution. A 20 G needle was inserted 3 to 4cm lateral to the midline of the spine under the 10th right rib. After negative aspiration for blood and alcohol, 6mL of a 7.5% aqueous phenol solution was injected. Within a minute after the injection, the patient felt a warm sensation in his right leg, followed by loss of leg motor and sensory function on both sides. A lumbar puncture done 3.5 hours after the block showed a phenol concentration of 87.5 microg/mL. The most likely explanation is a diffusion of the phenol through the intervertebral foraminae reaching the spinal space and therefore damaging the motor and sensory roots. This case highlights the danger associated with phenol application in the vicinity of the spinal cord.
PID Serval
serval:BIB_066FB5CF62E3
PMID
Date de création
2014-11-05T11:13:04.407Z
Date de création dans IRIS
2025-05-20T18:01:14Z