Neurologic Complications in Percutaneous Nephrolithotomy
Korean Journal of Urology
;
: 172-176, 2013.
Article
in English
| WPRIM
| ID: wpr-147380
ABSTRACT
PURPOSE:
Percutaneous nephrolithotomy (PCNL) has been the preferred procedure for the removal of large renal stones in Iran since 1990. Recently, we encountered a series of devastating neurologic complications during PCNL, including paraplegia and hemiplegia. There are several reports of neurologic complications following PCNL owing to paradoxical air emboli, but there are no reports of paraplegia following PCNL. MATERIALS ANDMETHODS:
We retrospectively reviewed the medical records of patients who had undergone PCNL in 13 different endourologic centers and retrieved data related to neurologic complications after PCNL, including coma, paraplegia, hemiplegia, and quadriplegia.RESULTS:
The total number of PCNL procedures in these 13 centers was 30,666. Among these procedures, 11 cases were complicated by neurologic events, and four of these cases experienced paraplegia. All events happened with the patient in the prone position with the use of general anesthesia and in the presence of air injection. There were no reports of neurologic complications in PCNL procedures performed with the patient under general anesthesia and in the prone position and with contrast injection.CONCLUSIONS:
It can be assumed that using room air to opacify the collecting system played a major role in the occurrence of these complications. Likewise, the prone position and general anesthesia may predispose to these events in the presence of air injection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Nephrostomy, Percutaneous
/
Medical Records
/
Retrospective Studies
/
Prone Position
/
Coma
/
Hemiplegia
/
Iran
/
Anesthesia, General
/
Neurologic Manifestations
Type of study:
Observational study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Korean Journal of Urology
Year:
2013
Type:
Article
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