Ischaemic spinal cord lesion following percutaneous radiofrequency spinal rhizotomy
- PMID: 1876424
- DOI: 10.1016/0304-3959(91)90183-X
Ischaemic spinal cord lesion following percutaneous radiofrequency spinal rhizotomy
Abstract
Two patients are presented in whom percutaneous radiofrequency spinal rhizotomy was complicated by contralateral paresis. Both patients were elderly and suffered from cardiac failure, chronic obstructive respiratory disease, and generalized vascular disease. Investigation of the paresis indicated a contralateral ischaemic cord lesion. It is suggested that local haemodynamic changes induced by heat-mediated rhizotomy may compromise oxygen delivery to the adjacent cord, especially in the presence of pre-existent cardiovascular disease.
Comment in
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Comment on 'Ischaemic spinal cord lesion following percutaneous radiofrequency spinal rhizotomy' by H.M. Koning, H.G. Koster and R.P.E. Niemeijer in Pain, 45 (1991) 161-166.Pain. 1991 Nov;47(2):241. doi: 10.1016/0304-3959(91)90210-O. Pain. 1991. PMID: 1762820 No abstract available.
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Comment on 'A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root', PJAM Brouwers et al., PAIN 91 (2001) 397-399.Pain. 2002 Mar;96(1-2):217-8; author reply 218-9. doi: 10.1016/s0304-3959(02)00005-2. Pain. 2002. PMID: 11932079 No abstract available.
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