A Case of Quadriplegia after Parotidectomy in a Patient with Asymptomatic Cervical Spondylosis / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 413-415, 2019.
Article
in Korean
| WPRIM
| ID: wpr-760138
ABSTRACT
Cervical spondylosis is a common degenerative disease of the cervical spine affecting the cervical vertebral bodies and intervertebral discs. During parotidectomy, the patient is placed in a supine position with the neck extended and head rotated to the contralateral side. This position could exacerbate pre-existing cervical spondylosis and cause cervical myelopathy. We present a case of postoperative quadriplegia secondary to cervical myelopathy after parotidectomy. A 68-year-old man without symptoms of cervical spondylosis underwent partial parotidectomy for a right parotid mass and subsequently developed quadriplegia 8 hours postoperatively. Magnetic resonance imaging revealed severe cervical myelopathy. Emergency laminoplasty was performed, and steroid therapy was initiated. He showed near-complete recovery six months later.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quadriplegia
/
Spinal Cord Diseases
/
Spine
/
Magnetic Resonance Imaging
/
Supine Position
/
Emergencies
/
Spondylosis
/
Laminoplasty
/
Head
/
Intervertebral Disc
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2019
Type:
Article
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