Quadriplegia as a position-related complication after parotidectomy: the need for cooperation between anesthesiologists and surgeons when positioning patients: A case report
Anesthesia and Pain Medicine
; : 398-401, 2017.
Article
em En
| WPRIM
| ID: wpr-136416
Biblioteca responsável:
WPRO
ABSTRACT
During surgery, the patient is positioned optimally according to the type of operation. Careful attention is required because damage associated with patient positioning may occur during the course of the surgery. Here, we present a case of hyperextension neck injury observed following parotidectomy. A 68-year-old man who was diagnosed with a parotid tumor underwent an elective right partial superficial parotidectomy. After surgery, the patient was not able to move his upper and lower extremities and experienced voiding difficulty. Cervical magnetic resonance imaging showed spinal cord injury at the C3-4 and C5-6 levels. High-dose steroid treatment was started, and emergency laminoplasty C4-5 to C5-6 was performed. Following laminoplasty, motor function was almost fully recovered, but proprioception was weak, and voiding difficulty remained a problem. The patient received rehabilitation treatment in the hospital for about 3 months, demonstrating improvement. He was discharged and continued treatment in the outpatient department.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pacientes Ambulatoriais
/
Propriocepção
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Quadriplegia
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Reabilitação
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Traumatismos da Medula Espinal
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Imageamento por Ressonância Magnética
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Lesões do Pescoço
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Extremidade Inferior
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Emergências
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Posicionamento do Paciente
Limite:
Aged
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Humans
Idioma:
En
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2017
Tipo de documento:
Article