Adult Complex Spinal Dysraphism With Situs Inversus Totalis: A Rare Association and Review

Srinivas, Dwarakanath; Suri, Ashish; Garg, Ajay; Mahapatra, Ashok Kumar; Mehta, Veer Singh

doi:10.1097/01.brs.0000158875.83200.d6

Cited by 19 publications

(24 citation statements)

References 6 publications

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“…Large number of factors influence the outcome, [6][7][8][9][10][11][12][13][14][15][16][17] few among them are age of the patient, type of pathology, cranialanomaly, presence of hydrocephalus, paraplegia, degree of neurological deficit and associated vertebral and systemic anomalies.Some patients do have situsinversus ordextrocardia. [6,7] In our study 3 patients had situsinversus, and one patient had eventration of diaphragm [ Table 8].…”

Section: Factor Influencing Outcomementioning

confidence: 99%

Spinal dysraphism controversies: AIIMS experiences and contribution

Mahapatra

Pang²,

Nl³

et al. 2012

IJNS

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A large series of split cord malformation (SCM). Over the last 22 years, we have operated more than 1500 patients of SD, of which over 450 are (SCM), and 300 are with various lipomatus malformations. About 55% type II and 45% type I SCM. A separate sub-classification of type I SCM (a,b,c and d), is presented which alter the surgical approach and influence the results. Overall improvement following surgery in patients with SCM was observed in 94%. Fifty percent patients improved and 44% remained stable. However, deterioration was noticed in 6%, mostly with composite type of SCM. A paradigm for management of SCM is provided taking into consideration also the author’s large experience.

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Section: Factor Influencing Outcomementioning

confidence: 99%

Spinal dysraphism controversies: AIIMS experiences and contribution

Mahapatra

Pang²,

Nl³

et al. 2012

IJNS

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“…have been described in the literature, and one has to evaluate the patient carefully if any surgery is planned under neuraxial anaesthesia. [12]The ECG electrodes have to be applied in the opposite direction as the changed surface electric polarity may give a false picture of peri-operative ischaemia.In case of cardiothoracic surgery, lung separation throws a challenging task due to transposition of thoracic viscera. Insertion of a double-lumen tube will pose a multitude of challenges, and the successful intubation and separation of lungs cannot be accomplished without the aid of fibreoptic bronchoscope.…”

Section: Discussionmentioning

confidence: 99%

The challenging aspects and successful anaesthetic management in a case of situs inversus totalis

Bajwa¹,

Kulshrestha²,

Kaur³

et al. 2012

Indian J Anaesth

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Situs inversus totalis is a rare condition with a predicted incidence of one in 10,000 among the general population, the aetiologic factors for which are still not completely understood. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult due to distorted anatomy and transposition of thoraco abdominal viscera but equally challenging is the anaesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for open cholecystectomy. The present case report lays an emphasis on the potential difficulties during anaesthetic management and its various implications.

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“…Dwarkanath et al have assessed the association between spinal cord anomalies and situs inversus. 8 Scoliosis, spina bifida, split cord, meningomylocoele and tethered spinal cord have been noted in some cases. A meticulous neurological examination with diligent palpation of the spine is crucial to detect such problems.…”

Section: Discussionmentioning

confidence: 99%