Paraplegia after sclerotherapy of varicose leg veins

N. Frings; E. Brenner; N. Prinz; P. Glowacki; M. Moersdorf; M. Maschke

doi:10.12687/phleb2341-2-2017

Phlebologie, Table of Contents

Phlebologie 2017; 46(02): 92-97
DOI: 10.12687/phleb2341-2-2017

Case report Kasuistik

Schattauer GmbH

Paraplegia after sclerotherapy of varicose leg veins

Article in several languages: English | deutsch

N. Frings

¹Capio Mosel-Eifel-Klinik, Bad Bertrich, Germany

,

E. Brenner

²Department für Anatomie, Histologie und Embryologie Sektion für klinisch-funktionelle Anatomie, Medizinische Universität Innsbruck, Austria

,

N. Prinz

¹Capio Mosel-Eifel-Klinik, Bad Bertrich, Germany

,

P. Glowacki

¹Capio Mosel-Eifel-Klinik, Bad Bertrich, Germany

,

M. Moersdorf

³Krankenhaus der Barmherzigen Brüder, Trier, Germany

,

M. Maschke

³Krankenhaus der Barmherzigen Brüder, Trier, Germany

› Author Affiliations

Abstract

Summary

We would like to present the case of paraplegia due to venous spinal ischaemia, which occurred after sclerotherapy of leg veins and subsequent to previous venous surgery. After exclusion of other pathogenetic causes such as surgery, tumescent local anaesthesia or neurological, infections, cardiological and haemosteaseological causes, this complication must be regarded as a consequence of sclerotherapy. Sources in literature describe shunts (shortened connections) between the leg veins and the venous spinal system, thus enabling minutest particles from sclerotherapy to enter the veins and possibly have a cytotoxic or microembolic effect with spinal ischaemia.

Keywords

Paraplegia - venous spinal ischaemia - venous sclerotherapy - venous surgery - tumescent local anaesthesia

Full Text

References

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