Paraplegia following coeliac plexus block.

Abstract:

:Coeliac plexus block (CPB) is one of the few neurolytic procedures that is still considered very useful in managing chronic cancer pain. We describe what we believe to be the fifth case in the literature of paraplegia following coeliac plexus block with ethyl alcohol. Clinical and neurophysiological examination confirmed the hypothesis of an acute myelopathy probably caused by ischemia due to involvement of Adamkievicz's artery. The seriousness of this neurological complication led us to review the different pain-relieving strategies in pancreatic cancer. Several medical and surgical procedures are available for advanced pancreatic cancer, yet none of them alone can be considered the therapy of choice for all cases. Hence, only a multidisciplinary approach to pancreatic cancer pain can help in making the most appropriate choice for each patient.

journal_name

Pain

journal_title

Pain

authors

De Conno F,Caraceni A,Aldrighetti L,Magnani G,Ferla G,Comi G,Ventafridda V

doi

10.1016/0304-3959(93)90015-H

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

383-385

issue

3

eissn

0304-3959

issn

1872-6623

pii

00006396-199312000-00015

journal_volume

55

pub_type

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