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- W2116076254 abstract "A 38-year-old man with no family and medical history presented with a 1-year history of left arm radicular pain. A magnetic resonance imaging scan demonstrated a herniated intervertebral disc in the left C6–C7 foramen. Percutaneous cervical nucleoplasty (L'DISQ C) had been previously performed at another hospital. After the procedure, neck swelling and dyspnea had developed. Therefore, the patient was transferred to our emergency medical center. Neck examination demonstrated that the larynx was displaced to the left side because of the right neck swelling. Plain neck X-ray showed a severe soft-tissue swelling and marked tracheal deviation to the left side (Fig. 1). Enhanced computerized tomography of the neck showed a large hematoma and constriction of the suffocating airway by the hematoma (Fig. 2). Emergency surgical removal of the hematoma and hemostasis were performed after endotracheal intubation using video laryngoscopy. After the evacuation of the huge hematoma, a perforation of the inferior thyroid artery was observed; then, the vessel ligation was performed (Fig. 3). The patient's symptoms resolved completely with no occurrence of postoperative neurologic deficit. The inferior thyroid vessels run a tortuous and variable course and may be a major source of retropharyngeal hematoma after stellate ganglion block [ [1] Samer N. Ultrasound-guided stellate ganglion block: safety and efficacy. Curr Pain Headache Rep. 2014; 18: 424 Crossref PubMed Scopus (75) Google Scholar ]. To the best of our knowledge, no previous cases of inferior thyroid arterial injury due to percutaneous nucleoplasty of cervical spine have been reported in the literature." @default.
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- W2116076254 date "2015-06-01" @default.
- W2116076254 modified "2023-09-25" @default.
- W2116076254 title "Inferior thyroid arterial injury after percutaneous cervical nucleoplasty" @default.
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- W2116076254 doi "https://doi.org/10.1016/j.spinee.2015.03.024" @default.
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