Complications of phenol neuroloysis

Arch Neurol. 1975 Apr;32(4):226-8. doi: 10.1001/archneur.1975.00490460042004.

Abstract

Phenolic stellate ganglion blockade caused triparesis in one patient, and phenolic neurolysis of cervical posterior roots caused respiratory arrest in another. These complications illustrate the dangers of the spread of phenol beyond the intended site of neurolysis with resultant local anesthesia, direct neural damage, vascular damage, and infarcts.

MeSH terms

  • Aged
  • Autonomic Nerve Block
  • Eosinophils / pathology
  • Female
  • Hemiplegia / chemically induced
  • Hemiplegia / etiology
  • Horner Syndrome / chemically induced
  • Horner Syndrome / etiology
  • Humans
  • Infarction / chemically induced
  • Infarction / etiology
  • Middle Aged
  • Necrosis
  • Nerve Block / adverse effects*
  • Nervous System Diseases / chemically induced*
  • Pain, Intractable / therapy
  • Paralysis / chemically induced
  • Paralysis / etiology
  • Phenols / adverse effects*
  • Phenols / therapeutic use
  • Respiratory Insufficiency / chemically induced
  • Respiratory Insufficiency / etiology
  • Spinal Cord / blood supply
  • Spinal Cord Diseases / chemically induced
  • Spinal Cord Diseases / etiology
  • Stellate Ganglion

Substances

  • Phenols