Spinal Cord Infarction following Spine Surgery in the Patient with Vertebral Bursting Fracture : A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 471-474, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-161781
ABSTRACT
Spinal cord infarction as a complication of spine surgery occurs rarely. Herein, a case of spinal cord infarction, which developed in a 69 year old woman following posterior decompression and internal fixation for a T11 bursting fracture, is descirbed. The anesthetic induction and intraoperative course were uneventful, except at the end of the procedure, where her blood pressure suddenly dropped from 130/90 to 90/60 mmHg. The patient was aggressively treated with a transfusion and vasopressor, the blood pressure then returned to its usual value within 10 minutes. However, during a physical examination in the recovery room, the patient was found to have flaccid lower limbs, with impaired sensory function below the T8 level. Her cord diameter had increased, and a high signal lesion was observed within the thoracic spinal cord, from T9 to T12 level on T2-weighted MR images, which was diagnosing as a spinal cord infarction, was and showed no improvement despite the immediate and aggressive treatment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Examen Físico
/
Sala de Recuperación
/
Sensación
/
Médula Espinal
/
Columna Vertebral
/
Presión Sanguínea
/
Extremidad Inferior
/
Descompresión
/
Infarto
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2007
Tipo del documento:
Artículo
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