title: Delayed contralateral sympathetic blockade following chemical sympathectomy--a case history.
abstract: A young girl with an idiopathic degenerative nervous system disease developed delayed contralateral sympathetic blockade each time following lumbar paravertebral sympathetic block of either side. Bilateral sympathetic blockade developed on each occasion despite observed ipsilateral containment of X-ray contrast on injection. The aetiological mechanisms of this phenomenon are discussed.
authors.affiliation: Pain Relief Clinic, Department of Anaesthetics, St. Thomas' Hospital, London SE1 7EH U.K.
authors.forename: G
authors.initials: G
authors.lastname: Purcell-Jones
authors.forename: D M
authors.initials: DM
authors.lastname: Justins
mesh_terms: D000293:Adolescent; D001340:Autonomic Nerve Block; D002045:Bupivacaine; D002490:Central Nervous System / Q000503:physiopathology; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D009422:Nervous System Diseases / Q000503:physiopathology* / Q000628:therapy; D013563:Sympathectomy, Chemical; D013997:Time Factors
chemical_list: D002045:Bupivacaine