Permanent Paraplegia as a Complication of Injection of Contrast Media at L2-L3 Vertebral Level.

CONCLUSIONS: Disregard of the procedural guidelines by the physicians performing an elective diagnostic intervention may cause devastating neurological complications. The described casualty occurred because of failure to review previous imaging studies, injection of the contrast medium despite unsuccessful attempts to aspirate cerebrospinal fluid, and an unwillingness to terminate the procedure immediately when the patient reported an unusual sensation in both of his lower extremities. Consequently, we suggest that not only for cervical and thoracic but also for lumbar interlaminar ESIs, previous imaging studies should be reviewed before the injection. PMID: 31578563 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/31578563?dopt=Abstract

Source: Pain Physician - October 2, 2019 Category: Anesthesiology Authors: Shukla AB, Vu TN, Vorobeychik Y Tags: Pain Med Source Type: research