Abstract:
:Ultrasound-guided cervical medial branch block (CMBB) is commonly performed to diagnose and treat head, neck, and shoulder pain. However, its use at the C7 level has been shown to be less accurate than at other levels, which may increase the chance of injury owing to the imprecision of needle site provided by the ultrasound guide. We report the first case of iatrogenic spinal cord injury from an ultrasound-guided C7 CMBB. The patient, upon receiving this procedure, had fainted shortly after experiencing an electrical sensation that ran from the neck to the toe. The patient complained of weakness and tingling sensation in the left upper extremity. Cervical magnetic resonance imaging revealed a hematoma in the cervical spinal cord, and an electrophysiological study, which was performed at 3 weeks after the incident, revealed an injury at the left C3-T2 anterior horn. After 2 months of rehabilitation, the patient showed moderate improvement in the strength of the left proximal upper extremity; however, there was no improvement in the strength of the left distal upper extremity. Therefore, we recommend caution when performing ultrasound-guided CMBB at the C7 level, as the guide particularly at this level is relatively inaccurate, posing a risk of spinal cord injury.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Park D,Seong MY,Kim HY,Ryu JSdoi
10.1097/PHM.0000000000000613subject
Has Abstractpub_date
2017-06-01 00:00:00pages
e111-e114issue
6eissn
0894-9115issn
1537-7385journal_volume
96pub_type
杂志文章abstract:OBJECTIVES:To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities. DESIGN:A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the...
journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0b013e318186b5bd
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To assess the prevalence of 25-hydroxyvitamin D insufficiency and deficiency in the outpatient rehabilitation setting and to identify patient characteristics associated with low serum 25-hydroxyvitamin D levels. DESIGN:25-Hydroxyvitamin D levels from 136 rehabilitation outpatients at an academic rehabilitati...
journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000991
更新日期:2018-12-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/01.phm.0000197570.03343.18
更新日期:2006-02-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2005-04-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000226
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更新日期:2018-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2006-06-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:2020-04-03 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:1995-01-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-200208000-00008
更新日期:2002-08-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199006000-00002
更新日期:1990-06-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,评审
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更新日期:2009-08-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:1991-02-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/PHM.0000000000000311
更新日期:2015-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1097/PHM.0b013e31823d53ff
更新日期:2012-02-01 00:00:00
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更新日期:2010-04-01 00:00:00
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更新日期:2003-03-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2010-03-01 00:00:00
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更新日期:2016-10-01 00:00:00
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更新日期:2003-02-01 00:00:00
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更新日期:2002-10-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2012-10-01 00:00:00
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更新日期:2006-09-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2003-04-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
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更新日期:2013-03-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章
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更新日期:2019-04-01 00:00:00
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00