Department of Anesthesiology and Pain Medicine, Inha University Hospital, Incheon, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S95-8. doi: 10.4097/kjae.2010.59.S.S95. Epub 2010 Dec 31.
Selective cervical nerve root block is executed for patients who have symptoms of cervical radiculopathy for diagnostic and therapeutic purposes. However several catastrophic complications caused by this procedure have been reported including neurological complications. A 43-year-old male received a C5 selective cervical nerve root block procedure due to continuous radiating pain even after cervical discectomy and interbody fusion was performed. At the time of the procedure, the contrast outline revealed reflux of the nerve root and epidural space. But after the procedure was performed, the patient experienced decreased sensation in the upper and low extremities as well as motor paralysis of both extremities. Our sspecting diagnosis was anterior spinal artery syndrome but both sensory and motor functions were subsequently recovered within a few hours after the procedure was completed. Due to the difficult nature of this case, we reported these complications and reviewed current literature related to this study.
选择性颈椎神经根阻滞用于诊断和治疗有颈椎神经根病症状的患者。然而，该操作已报道了几种严重并发症，包括神经并发症。一名 43 岁男性因颈椎间盘切除和椎体间融合术后仍持续放射痛而接受 C5 选择性颈椎神经根阻滞。在操作时，造影轮廓显示神经根和硬膜外间隙的反流。但操作后，患者出现上下肢感觉减退和四肢运动麻痹。我们怀疑是脊髓前动脉综合征，但在操作完成后数小时内，感觉和运动功能均随后恢复。由于该病例较为复杂，我们报告了这些并发症，并对与该研究相关的现有文献进行了回顾。
