Cochrane Thomas I
Department of Neurology, Brigham and Women's Hospital, 75 Francis Street, Tower 5D EMG, Boston, Massachusetts 02115, USA.
Muscle Nerve. 2007 Aug;36(2):261-3. doi: 10.1002/mus.20782.
Brachial plexus block is a generally safe procedure for postoperative analgesia following shoulder surgery. This report describes brachial plexus block complicated by intraneural dissection of anesthetic solution, resulting in severe damage to the upper spinal cord. Other investigators have hypothesized that this rare complication is caused by accidental needle placement within the substance of the cord. This case demonstrates that the complication can occur despite a peripherally located needle.
臂丛神经阻滞是肩部手术后进行术后镇痛的一种总体安全的操作。本报告描述了臂丛神经阻滞并发麻醉药溶液神经内解剖，导致上脊髓严重损伤的情况。其他研究者推测，这种罕见的并发症是由针头意外刺入脊髓实质内所致。本病例表明，尽管针头位于外周，这种并发症仍可能发生。
