KMID : 0388720210280030092
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Journal of Korean Society of Spine Surgery 2021 Volume.28 No. 3 p.92 ~ p.95
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Cerebral Infarction That Occurred Before Drug Administration During Cervical Nerve Root Block Using an Image Amplifier: A Case Report
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Lim Sung-An
Baek Sung-Nyun Choi Yong-Soo
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Abstract
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Study Design : Case report.
Objective : To report a case in which cerebral infarction occurred before drug administration during cervical nerve root block using an image amplifier.
Summary of Literature Review : Complications of cervical nerve root block associated with intravascular injections have been reported.
Materials and Methods : A 74-year-old woman with cervical radiculopathy complained of nausea and drowsy mental state after contrast injection was performed without an intravascular injection during sixth cervical nerve root block. After the procedure was stopped, general treatment was performed in the recovery room, but visual disturbances occurred.
Results : Brain magnetic resonance imaging revealed cerebral infarction in the left posterior cerebral artery territory. The visual disturbances improved slightly, but a visual field defect remained at a 1-year follow-up.
Conclusions : Even if an intravascular injection during cervical nerve root block is not performed, cerebral infarction could occur. It is necessary to monitor the patient carefully and prepare for emergency treatment.
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KEYWORD
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Cervical radiculopathy, Nerve root block, Complication, Cerebral infarction
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