Pearls & oy-sters: Acute spinal cord infarction following endoscopic ultrasound-guided celiac plexus neurolysis.
نویسندگان
چکیده
• Celiac plexus neurolysis (CPN)/celiac plexus block (CPB) is used to treat excruciating cancerrelated abdominal pain.1 • CPN is done via injecting 50%–100% alcohol into the celiac plexus, which is located under the diaphragm at the level of T12-L1 adjacent to the abdominal aorta and the take-off of the celiac trunk.2 • Endoscopic ultrasound guided neurolysis (EUS CPN) has been found to have 85% success rate with only 2 cases (0.8%) of major non-neurologic complications reported.3,4
منابع مشابه
Anterior spinal cord infarction with permanent paralysis following endoscopic ultrasound celiac plexus neurolysis.
Celiac neurolysis is an effective adjunct for managing refractory pancreatic cancer pain. Endoscopic ultrasound (EUS) offers several potential technical advantages over the traditional percutaneous technique [1]. We report the first case of paraplegia following EUS celiac neurolysis. A 76-year-old man underwent EUS celiac neurolysis for refractory pain secondary to unresectable pancreatic cance...
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Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is a well-established intervention to palliate malignant pain. We report a patient who developed hepatic and splenic infarction and bowel ischemia following EUS-CPN. A 69-year-old man with known lung cancer and pancreatic metastasis was transferred for debilitating, significant epigastric pain for several months. The patient underw...
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Introduction. Celiac plexus neurolysis is used in pain management of patients with advanced and unresectable pancreatic cancer. We retrospectively analyzed efficacy and safety of endoscopic ultrasound- (EUS-) guided celiac plexus neurolysis in patients treated in our unit. Methods. Twenty nine subjects with unresectable pancreatic cancer and severe pain despite pharmacological treatment underwe...
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Visceral pain secondary to pancreatic cancer is often difficult to control and poses a challenge to the physician. We retrospectively analyzed the efficacy and safety of endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) in patients with unresectable pancreatic cancer. Forty-one patients with severe pain despite treatment with opioids underwent EUS-CPN with absolute alcohol. Patien...
متن کاملFatal complication after endoscopic ultrasound-guided celiac plexus neurolysis.
A 57-year-old woman with a diagnosis of idiopathic recurrent pancreatitis and progressive epigastric pain radiating to her back was admitted to the hospital. Abdominal computed tomography (CT) showed a suspicious 3-cm pancreatic head mass involving the superior mesenteric artery (SMA) and vein. Endoscopic ultrasound (EUS) showed the suspicious pancreatic head mass with bile duct and main pancre...
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ورودعنوان ژورنال:
- Neurology
دوره 78 9 شماره
صفحات -
تاریخ انتشار 2012