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Cervical myelopathy caused by retrograde intraneural dissection of anesthetic solution
Author(s) -
Cochrane Thomas I.
Publication year - 2007
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.20782
Subject(s) - medicine , myelopathy , dissection (medical) , anesthetic , surgery , anesthesia , spinal cord , psychiatry
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. Muscle Nerve, 2007