Document Detail


Paraplegia following intraoperative celiac plexus injection.
MedLine Citation:
PMID:  10554376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The technique for percutaneous and open neurolytic celiac plexus injection, using ethanol or phenol, for relief of intractable pancreatic cancer pain has been well described. Prospective randomized studies, demonstrating safety and efficacy with few complications, have led to widespread acceptance and use of this palliative procedure. The complications of neurolytic celiac plexus injection are rare, and are usually minor. However, transient or permanent paraplegia has been reported previously in 10 cases. The case described herein represents the third reported case of permanent paraplegia following open intraoperative neurolytic celiac plexus injection using 50% ethanol. The literature surveying the indications for this procedure, routes of administration, known complications, and their pathophysiology are reviewed.
Authors:
E K Abdalla; S R Schell
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  3     ISSN:  1091-255X     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  2000-05-19     Completed Date:  2000-05-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  668-71     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Florida College of Medicine, Gainesville, FL 32610-0286, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Autonomic Nerve Block
Celiac Plexus*
Ethanol / administration & dosage*
Female
Humans
Injections
Intraoperative Care
Pain, Intractable / etiology,  therapy*
Palliative Care
Pancreatic Neoplasms / physiopathology,  surgery
Paraplegia / chemically induced*
Chemical
Reg. No./Substance:
64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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