title: Temporary quadriplegia following continuous thoracic paravertebral block.
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.
authors.affiliation: Service d'Anesthésie et Réanimation Chirurgicale, Rouen University Hospital, Hôpital Charles-Nicolle, 1 rue de Germont, 76031, Rouen Cedex, France. emile.calenda@chu-rouen.fr
authors.forename: Emile
authors.initials: E
authors.lastname: Calenda
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Baste
authors.forename: Eric
authors.initials: E
authors.lastname: Danielou
authors.forename: Paul
authors.initials: P
authors.lastname: Michelin
mesh_terms: D000368:Aged; D000577:Amides / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000009:adverse effects* / Q000379:methods; D011782:Quadriplegia / Q000139:chemically induced*; D000077212:Ropivacaine; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013904:Thoracic Vertebrae
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine