Inadvertent Spinal Anesthesia During Ultrasound-Guided Thoracic Paravertebral Nerve Block in a Patient With Nerve Root Sheath Cyst: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
15 Mar 2019
15 Mar 2019
Historique:
pubmed:
1
9
2018
medline:
20
6
2019
entrez:
1
9
2018
Statut:
ppublish
Résumé
An ultrasound-guided thoracic paravertebral nerve block was administered for left-sided abdominal pain. Lidocaine 0.4% (9.5 mL) was injected. Spinal anesthesia developed after the injection that resolved after 3 hours. One week later, a magnetic resonance imaging scan of thoracic spine identified a left T10 nerve root sheath cyst. It was postulated that the local anesthetic was injected into the cyst, which communicated with the subarachnoid space. This case report demonstrates the anatomic variations of nerve root sheath cyst sites and the risk of injection into intranerve root sheath cysts during interventional procedures.
Identifiants
pubmed: 30169384
doi: 10.1213/XAA.0000000000000883
pii: 02054229-201903150-00006
doi:
Substances chimiques
Anesthetics, Local
0
Lidocaine
98PI200987
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
199-201Références
Boezaart AP, Lucas SD, Elliott CE. Paravertebral block: cervical, thoracic, lumbar, and sacral. Curr Opin Anaesthesiol. 2009;22:637–643.
Hardy D. Relief of pain in acute herpes zoster by nerve blocks and possible prevention of post-herpetic neuralgia. Can J Anaesth. 2005;52:186–190.
Ji G, Niu J, Shi Y, Hou L, Lu Y, Xiong L. The effectiveness of repetitive paravertebral injections with local anesthetics and steroids for the prevention of postherpetic neuralgia in patients with acute herpes zoster. Anesth Analg. 2009;109:1651–1655.
Jüttner T, Werdehausen R, Hermanns H, et al. The paravertebral lamina technique: a new regional anesthesia approach for breast surgery. J Clin Anesth. 2011;23:443–450.
Schnabel A, Reichl SU, Kranke P, Pogatzki-Zahn EM, Zahn PK. Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials. Br J Anaesth. 2010;105:842–852.
Naja Z, Lönnqvist PA. Somatic paravertebral nerve blockade. Incidence of failed block and complications. Anaesthesia. 2001;56:1184–1188.
Cowie B, McGlade D, Ivanusic J, Barrington MJ. Ultrasound-guided thoracic paravertebral blockade: a cadaveric study. Anesth Analg. 2010;110:1735–1739.
Piccioni F, Colombo J, Fumagalli L, et al. Inadvertent high central neuraxial block and possible total spinal anaesthesia occurring after nerve stimulation guided thoracic paravertebral block. Anaesth Intensive Care. 2014;42:270–271.
Beyaz SG, Özocak H, Ergönenç T, Erdem AF, Palabiyik O. Total spinal block after thoracic paravertebral block. Turk J Anaesthesiol Reanim. 2014;42:43–45.
Chaudhri BB, Macfie A, Kirk AJ. Inadvertent total spinal anesthesia after intercostal nerve block placement during lung resection. Ann Thorac Surg. 2009;88:283–284.
Pusch F, Wildling E, Klimscha W, Weinstabl C. Sonographic measurement of needle insertion depth in paravertebral blocks in women. Br J Anaesth. 2000;85:841–843.
Pace MM, Sharma B, Anderson-Dam J, Fleischmann K, Warren L, Stefanovich P. Ultrasound-guided thoracic paravertebral blockade: a retrospective study of the incidence of complications. Anesth Analg. 2016;122:1186–1191.
Albi-Feldzer A, Duceau B, Nguessom W, Jayr C. A severe complication after ultrasound-guided thoracic paravertebral block for breast cancer surgery: total spinal anaesthesia: a case report. Eur J Anaesthesiol. 2016;33:949–951.