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2018, Number 4

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Rev Mex Anest 2018; 41 (4)

Paraplegia posterior to celiac plexus block. About a case

Solano-Burbano GV, Trejo-Fuentes R, Tepeyac-Gutiérrez A

Language: Spanish
References: 9
Page: 294-296
PDF size: 167.70 Kb.


ABSTRACT

The neurolytic celiac plexus block is carried out to patients with abdominal pain that does not yield to potent analgesics and with diagnosis of terminal stage cancer. It is applied next to the plexus a neurolytic substance as phenol or alcohol. We present a case of a 60-year-old patient, with a history of moderately differentiated stage IV colonic adenocarcinoma with hepatic and pulmonary metastases, consequently presenting chronic painful syndrome characterized by diffuse abdominal pain refractory to opioids and NSAIDs, which is why it is decided to make celiac plexus block. Post-blockade the patient has no pain, but has bilateral paraplegia that partially reverses with rehabilitation. Conclusions: A possible cause is a vasospasm of the Magna radicular artery, because the paralysis was immediate and reversible, a rare complication of this blockade.


REFERENCES

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