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《神经根型颈椎病1A Whitacre-Type Spinal Needle Does Not Prevent Intravascular Injection During Cervical Nerve Root Injections》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、CaseReportAWhitacre-TypeSpinalNeedleDoesNotPreventIntravascularInjectionDuringCervicalNerveRootInjectionsKennethD.Candido,MD,RamsisF.Ghaly,MD,FACS,SaraMackerley,DO,andNebojsaNickKnezevic,MD,PhDBluntneedleshavebeentoutedasbeinglesslikelythanAbstract:Wepresentacaseofintravascularinjectionina41-sharp
2、needlestocausepenetrationortraumatovesselsandyear-oldfemaleduringcervicalselectivenerverootinjection8,9nerves.Inaddition,bluntneedleshavebeenshowntoreduceusinga22-gauge3.5-inchWhitacre-typepencil-pointsubarach-theriskandincidenceofintravascularinjectionsandhemor-noidneedlewithacurveplacedatthedist
3、altippositionedusing8,9rhage.continuallivefluoroscopicguidance.Afternegativeaspirationforbloodandcerebrospinalfluidandnoelicitedparesthesiasduringtheprocedure,1mLofcontrastwasinjected.Initialim-CaseReportagingatC6capturedtheoutlineofthenerverootalongwithaA41-year-oldfemalewithahistoryofmultiplesig
4、nificantamountoftransientvascularrunoff.Thiscasereportherniateddiscsinthecervicalspinefollowingawork-demonstratesthatWhitacre-typespinalneedlesdonotpreventrelatedinjurywasreferredforpainmanagement.Shevascularinjection,andthataspirationoftheneedleisnotare-hadpreviouslyundergoneanteriorcervicaldisce
5、ctomyliablesignofintravascularinjection.andfusionsurgery(ACDF).Afterdevelopingrecur-KeyWords:bluntneedle,cervicalnerverootinjection,intravascu-rentdischerniations,shefailedtorespondtointer-larinjection,pencil-point,Whitacre-typespinalneedlelaminarcervicalepiduralsteroidinjections,medialbranchblock
6、s,ortriggerpointinjections.Thepatientelectedtoundergoatwo-level,selectivecervicalNRBprocedureforsymptomaticreliefandtoattempttoeriouscomplications,suchascardiovasculararrest,quadri-Sparesis,cerebralinfarction,seizures,anddeathhavebeenidentifytheprimarylevelofpathologyforaplanned1–6subsequentsurger
7、y.reportedaftercervicalselectivenerverootblocks(NRBs).AfterobtaininginformedandwrittenconsentandAlthoughthemechanismsofmostofthesecomplicationsarenotprovidingconscioussedationintheoperatingroom,theknown,theyareco
