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在颈椎小关节局部麻醉药皮肤浸润期间发生高位脊髓麻醉。

High spinal anaesthesia during local anaesthetic skin infiltration at the cervical facet joint.

作者信息

Goh J C H, Gn Y M, Tan D J A, Lim Z W

机构信息

Division of Anaesthesiology and Perioperative Medicine, Department of Pain Management Singapore General Hospital Singapore Republic of Singapore.

出版信息

Anaesth Rep. 2024 Nov 18;12(2):e12334. doi: 10.1002/anr3.12334. eCollection 2024 Jul-Dec.

DOI:10.1002/anr3.12334
PMID:39564369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11573458/
Abstract

Facet joint injections are generally safe to perform with a low incidence of adverse events. There are few published reports of neurological complications occurring following procedures at the facet joint or cervical epidural space. However, complications from local anaesthetic infiltration to the skin and surrounding tissue have not been reported. We report a case of transient tetraplegia after local anaesthetic infiltration to the skin in preparation for cervical facet joint injection. We discuss potential reasons for this complication and suggest practice modifications which could reduce the risk.

摘要

小关节注射通常操作安全，不良事件发生率较低。关于在小关节或颈椎硬膜外间隙进行操作后发生神经并发症的已发表报告很少。然而，尚未有关于局部麻醉药浸润皮肤及周围组织引起并发症的报道。我们报告一例在准备颈椎小关节注射时局部麻醉药浸润皮肤后出现短暂性四肢瘫痪的病例。我们讨论了这种并发症的潜在原因，并提出了可降低风险的操作改进建议。

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