JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (12)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Tripathi, M.
Right arrow Articles by Gupta, R. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Tripathi, M.
Right arrow Articles by Gupta, R. K.
Related Collections
Right arrow Neuroanesthesia
Right arrow Complications
Right arrow Regional Anesthesia

Anesth Analg 2005;101:1209-1211
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000175765.76237.0A

REGIONAL ANESTHESIA

Paraplegia After Intracord Injection During Attempted Epidural Steroid Injection in an Awake-Patient

Mukesh Tripathi, MD, MAMS*, S. S. Nath, MD*, and Rakesh K. Gupta, MD{dagger}

*Department of Anesthesiology, {dagger}Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Address correspondence and reprint requests to Mukesh Tripathi, MD, MAMS, Department of Anaesthesiology Type IV-21, SGPGIMS Campus Rae Bareilly Road, Lucknow-226014 India. Address e-mail to mukesh_tripathi{at}yahoo.com.

Epidural steroid injection is recommended in patients with back ache from spinal and radicular pain or pain suggestive of radiculopathy. During needle placement and injections, clinicians often rely on the patient’s complaint of paresthesia or shooting pain along the nerve root, dura, or cord in case a needle pierces these areas. We report the accidental intracord injection of steroid solution during epidural block using fluoroscopy in a conscious patient, which caused paraplegia. This case suggests failure of undue reliance on a patient reporting pain in the vicinity of needle puncturing the spinal cord structures.




This article has been cited by other articles:


Home page
 Br J AnaesthHome page
A. Sehgal and J. M. J. Valentine
Lumbar radiculopathy after zygapophyseal joint injection
Br. J. Anaesth., September 1, 2007; 99(3): 412 - 414.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
T. Moussa, D. Abdoulaye, C. Youssouf, G. C. Oumar, T. S. Karim, and T. J. Traore
Cauda equina syndrome and profound hearing loss after spinal anesthesia with isobaric bupivacaine.
Anesth. Analg., June 1, 2006; 102(6): 1863 - 1864.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. N. Narouze
Epidural Steroid Injections After Epidurography May Prevent Otherwise Devastating Complications
Anesth. Analg., May 1, 2006; 102(5): 1585 - 1585.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. Tripathi
Fluoroscopy and Safety of Spinal Interventional Procedures
Anesth. Analg., May 1, 2006; 102(5): 1587 - 1587.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. Tripathi
Epidural Steroid Injections After Epidurography May Prevent Otherwise Devastating Complications
Anesth. Analg., May 1, 2006; 102(5): 1585 - 1585.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. N. Narouze
Epidural steroid injections after epidurography may prevent otherwise devastating complications.
Anesth. Analg., May 1, 2006; 102(5): 1585 - 1585.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. Tripathi
Is It Time to Perform All Thoracic Epidural Placements Under Fluoroscopy?
Anesth. Analg., May 1, 2006; 102(5): 1585 - 1586.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. A. Munir, R. Rastogi, and S. Nedeljkovic
Fluoroscopy and safety of spinal interventional procedures.
Anesth. Analg., May 1, 2006; 102(5): 1586 - 1586.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. S. Raghavendra, K. Candido, M. Chinthagada, and V. Patel
Comments on the case report of paraplegia after intracord injection.
Anesth. Analg., May 1, 2006; 102(5): 1587 - 1587.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. B. Furman and N. D. Sthalekar
Minimizing complications in epidural steroid injections.
Anesth. Analg., May 1, 2006; 102(5): 1587 - 1588.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.