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British Journal of Anaesthesia, 2001, Vol. 87, No. 2 312-316
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Ipsilateral thoraco-lumbar anaesthesia and paravertebral spread after low thoracic paravertebral injection

M. K. Karmakar, T. Gin and A. M.-H. Ho

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, People’s Republic of China*Corresponding author

We report ipsilateral thoraco-lumbar anaesthesia and paravertebral spread of contrast after injection through a thoracic paravertebral catheter that was placed at the right T8–9 spinal level for pain management in a patient with multiple fractured ribs. We review the literature and describe the subendothoracic fascial communication between the thoracic paravertebral space and the retroperitoneal lumbar paravertebral region, which we propose, is the anatomical basis for ipsilateral thoraco-lumbar anaesthesia and paravertebral spread of contrast in our patient.

Br J Anaesth 2001; 87: 312–16


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