PAIN
Volume 91, Issue 3 , Pages 397-399, April 2001

A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root

  • Paul J.A.M Brouwers

      Affiliations

    • Department of Neurology, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA Enschede, The Netherlands
    • Corresponding Author InformationCorresponding author. Tel.: +31-53-4872000; fax: +31-53-4872882
    • ,
  • Ella J.B.L Kottink

      Affiliations

    • Department of Neurology, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA Enschede, The Netherlands
    • ,
  • Marc A.M Simon

      Affiliations

    • Department of Anaesthesiology, Medisch Spectrum Twente, Enschede, The Netherlands
    • ,
  • Rik L Prevo

      Affiliations

    • Department of Neuroradiology, Medisch Spectrum Twente, Enschede, The Netherlands

Received 1 February 2000; received in revised form 14 September 2000; accepted 20 September 2000.

Abstract 

A 48-year-old man suffered from intractable neck pain irradiating to his right arm. Magnetic resonance imaging (MRI) of the cervical spine was unremarkable. A right-sided diagnostic C6-nerve root blockade was performed. Immediately following this seemingly uneventful procedure he developed a MRI-proven fatal cervical spinal cord infarction. We describe the blood supply of the cervical spinal cord and suggest that this infarction resulted from an impaired perfusion of the major feeding anterior radicular artery of the spinal cord, after local injection of iotrolan, bupivacaine, and triamcinolon-hexacetonide around the C6-nerve root on the right side.

Keywords:  Infarction, Spinal cord, Nerve root blockade, Magnetic resonance imaging

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S0304-3959(00)00437-1

PAIN
Volume 91, Issue 3 , Pages 397-399, April 2001

Article Tools

* Image Usage & Resolution