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Temporary quadriplegia following continuous thoracic paravertebral block |
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| Authors: | Calenda Emile Baste Jean Marc Danielou Eric Michelin Paul |
| Institution: | 1. Service d''Anesthésie et Réanimation Chirurgicale, Rouen University Hospital, Hôpital Charles-Nicolle, 1 rue de Germont, 76031, Rouen Cedex, France;2. Service de Chirurgie Thoracique et Cardiovasculaire, Rouen University Hospital, Hôpital Charles-Nicolle, 1 rue de Germont, 76031, Rouen Cedex, France;3. Département de Radiologie, Rouen University Hospital, 1 rue de Germont, 76031 Rouen cedex, France |
| Abstract: | A case of temporary quadriplegia following a continuous thoracic paravertebral block in an adult patient scheduled for video-assisted thoracoscopy is presented. An 18-gauge Tuohy needle was inserted under direct vision by the surgeon but the tip of the catheter was not localized. Postoperatively, the patient developed temporary quadriplegia 90 minutes after the start of a continuous infusion of ropivacaine 0.2%. Imaging studies showed that the catheter was localized in the intrathecal space. |
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