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是否必须停止选择性颈神经根阻滞？两例报告及文献复习。

Must we discontinue selective cervical nerve root blocks? Report of two cases and review of the literature.

机构信息

Department of Radiology, Orthopedic University Hospital Balgrist, University of Zurich, Zurich, Switzerland.

出版信息

Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S466-70. doi: 10.1007/s00586-012-2642-z. Epub 2013 Jan 18.

DOI:10.1007/s00586-012-2642-z
PMID:23328873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3641255/
Abstract

We report two detrimental neurologic complications after technically correct selected cervical nerve root blocks. Based on these cases and a thorough review of the literature, the indication for cervical nerve root blocks was reconsidered and limited. Similarly, we modified our technique to further reduce the likelihood for the occurrence of such severe complications.

摘要

我们报告了两例技术上正确的选择性颈神经根阻滞治疗后出现的不良神经并发症。基于这些病例和对文献的全面回顾，我们重新考虑并限制了颈神经根阻滞的适应证。同样，我们修改了我们的技术，以进一步降低发生此类严重并发症的可能性。

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Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S466-70. doi: 10.1007/s00586-012-2642-z. Epub 2013 Jan 18.
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本文引用的文献

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A Whitacre-type spinal needle does not prevent intravascular injection during cervical nerve root injections.惠特克型脊髓穿刺针在颈神经根注射过程中不能防止血管内注射。
South Med J. 2010 Jul;103(7):679-82. doi: 10.1097/SMJ.0b013e3181e1e3d6.
2
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AJNR Am J Neuroradiol. 2009 Mar;30(3):507-11. doi: 10.3174/ajnr.A1415. Epub 2009 Feb 4.
3
Perils of intravascular methylprednisolone injection into the vertebral artery. An animal study.椎动脉内注射甲基强的松龙的风险。一项动物研究。
J Bone Joint Surg Am. 2008 Sep;90(9):1932-8. doi: 10.2106/JBJS.G.01182.
4
Cervical CT-guided, selective nerve root blocks: improved safety by dorsal approach.颈椎CT引导下选择性神经根阻滞：经后路提高安全性。
AJNR Am J Neuroradiol. 2009 Feb;30(2):336-7. doi: 10.3174/ajnr.A1222. Epub 2008 Jul 24.
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Spine (Phila Pa 1976). 2007 May 15;32(11):1249-56. doi: 10.1097/BRS.0b013e318053ec50.
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