Back to Search
Start Over
Spinal cord ischemia after endoscopic ultrasound guided celiac plexus neurolysis: case report and review of the literature.
- Source :
-
Scandinavian journal of gastroenterology [Scand J Gastroenterol] 2017 Oct; Vol. 52 (10), pp. 1158-1161. Date of Electronic Publication: 2017 Jun 18. - Publication Year :
- 2017
-
Abstract
- Introduction: Endosonography guided celiac plexus neurolysis is efficacious in the management of severe pain due to advanced pancreatic cancer. Although endoscopic ultrasound (EUS) guided celiac neurolysis (CN) is mostly a safer procedure than the percutaneous posterior approach, severe complications such as paraplegia have been reported.<br />Case Report: We describe a patient with advanced adenocarcinoma of the pancreas and severe pain who developed irreversible paraplegia after EUS guided CN.<br />Conclusions: Endosonography guided celiac plexus neurolysis also might be complicated with paraplegia as already observed with percutaneous approach. The underlying mechanism could not be explained clearly until now. We detected concomitant embolic occlusion of Adamkiewicz and anterior radicularis magna arteries in magnetic resonance angiography. So, this procedure must be considered only for malignancy patients.
- Subjects :
- Aged
Cancer Pain etiology
Cancer Pain therapy
Celiac Plexus
Endosonography adverse effects
Fatal Outcome
Female
Humans
Adenocarcinoma complications
Nerve Block adverse effects
Pancreatic Neoplasms complications
Paraplegia etiology
Spinal Cord Ischemia etiology
Ultrasonography, Interventional adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1502-7708
- Volume :
- 52
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 28625083
- Full Text :
- https://doi.org/10.1080/00365521.2017.1335771