BROWN-SÉQUARD PARALYSIS FOLLOWING A PARAVERTEBRAL ALCOHOL INJECTION FOR ANGINA PECTORIS
BROWN-SÉQUARD PARALYSIS FOLLOWING A PARAVERTEBRAL ALCOHOL INJECTION FOR ANGINA PECTORIS
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椎旁酒精注射治疗心绞痛后出现棕色麻痹
DOI：
10.1001/jama.1931.27310040003010b
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发表时间：
1931
期刊：
影响因子：
--
通讯作者：
G. Wilson
中科院分区：
文献类型：
--
作者：
M. Molitch;G. Wilson
Mandl、Swetlow和白色的个人著作使治疗心绞痛的椎旁注射法流行起来。该方法的目的是用盐酸普鲁卡因或酒精或两者一起沿上胸椎沿着注射交感神经链。这种疗法的理论基础是，心绞痛的疼痛通过交通支传到脊神经根，然后传到大脑，这些疼痛感的大部分通过上胸神经根。文献检索未能发现与我们报告的并发症相似的并发症。虽然椎旁注射的方法可能看起来很简单，但我们的病例证明，即使由专家进行，偶尔也可能导致不幸的并发症。在注射过程中进行荧光镜检查是理想的，在这种情况下，不幸的事件将
The paravertebral injection method for the treatment of angina pectoris has been made popular by the individual writings of Mandl, Swetlow and White. The object of the method is to inject the sympathetic chain along the upper thoracic vertebrae with procaine hydrochloride or alcohol or with both. The treatment is based on the theory that the pain of angina pectoris is transmitted through the rami communicantes to the spinal nerve roots and thence to the brain, and that the greater part of these painful sensations travel through the upper thoracic roots. A search of the literature has failed to reveal a complication similar to the one that we are reporting. Although the method of paravertebral injection may appear simple, our case proves that occasionally an unfortunate complication may result, even when performed by an expert. Fluoroscopic examination during the injection would be ideal, and under such conditions unlucky events would