Key result
Coeliac plexus block using 90% alcohol resulted in a rare case of paraplegia, likely caused by ischemic spinal cord injury secondary to damage to the artery of Adamkiewicz.
Highlights a rare but severe complication (paraplegia) of coeliac plexus block using 90% alcohol.
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Raises caution for rare paraplegia after alcohol coeliac plexus block; leaves open prevention strategies targeting artery of Adamkiewicz.
A case is described in which paraplegia followed a coeliac plexus block performed using 90% alcohol under X ray screening. The likely cause was an ischaemic injury to the cord secondary to damage to the artery of Adamkiewicz. This rare complication seems difficult to avoid.
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Woodham et al. (1989) studied this question. Coeliac plexus block using 90% alcohol resulted in a rare case of paraplegia, likely caused by ischemic spinal cord injury secondary to damage to the artery of Adamkiewicz.
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