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Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma
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 s...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Pain Society
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780216/ https://www.ncbi.nlm.nih.gov/pubmed/29372026 http://dx.doi.org/10.3344/kjp.2018.31.1.50 |
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author | Oguz, Gonca Senel, Gulcin Kocak, Nesteren |
author_facet | Oguz, Gonca Senel, Gulcin Kocak, Nesteren |
author_sort | Oguz, Gonca |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5780216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Pain Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-57802162018-01-25 Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma Oguz, Gonca Senel, Gulcin Kocak, Nesteren Korean J Pain Case Report 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. The Korean Pain Society 2018-01 2018-01-02 /pmc/articles/PMC5780216/ /pubmed/29372026 http://dx.doi.org/10.3344/kjp.2018.31.1.50 Text en Copyright © The Korean Pain Society, 2018 http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Oguz, Gonca Senel, Gulcin Kocak, Nesteren Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title | Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title_full | Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title_fullStr | Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title_full_unstemmed | Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title_short | Transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
title_sort | transient paraplegia after neurolytic splanchnic block in a patient with metastatic colon carcinoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780216/ https://www.ncbi.nlm.nih.gov/pubmed/29372026 http://dx.doi.org/10.3344/kjp.2018.31.1.50 |
work_keys_str_mv | AT oguzgonca transientparaplegiaafterneurolyticsplanchnicblockinapatientwithmetastaticcoloncarcinoma AT senelgulcin transientparaplegiaafterneurolyticsplanchnicblockinapatientwithmetastaticcoloncarcinoma AT kocaknesteren transientparaplegiaafterneurolyticsplanchnicblockinapatientwithmetastaticcoloncarcinoma |