Hematoma epidural cervical yatrogénico. Presentación de un caso clínico y revisión de la literatura

Jusué-Torres, Ignacio; Ortega-Zufiría, José M.; Tamarit-Degenhardt, Martin; Torres, R. Navarro; López-Serrano, Remedios; Riqué-Dormido, J.; Aragonés-Cabrerizo, P; Gómez-Angulo, J.C.; Poveda-Núñez, Pedro Domingo; Jerez-Fernández, P.; Pozo-García, J M Del

doi:10.1016/s1130-1473(11)70029-x

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“…The spine cord edema extends to the cervical level or even the brain stem. Iatrogenic epidural hematoma-caused paraplegia also had been reported [ 5 ] as immediate postoperative period neurological deterioration. Furthermore, cord injury-caused paraplegia due to the pedicle screws malposition was also noted, especially at scoliosis patients [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Paraplegia after Hypotension with Pneumothorax Episode during Thoracic Spine Tumor Surgery

Liu

Liao

Chang

2021

Case Reports in Neurological Medicine

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Paraplegia after spine surgery is a catastrophic complication. Here, we present a patient who, following laminectomy and fusion for decompression of metastatic tumor, developed paraplegia. We tried to find out the possible reason for the paraplegia. Due to prolonged hypotension during operation and new onset of pneumothorax, we think that intraoperative prolonged hypotension leads to the spinal cord ischemia which may cause neurological deterioration of paraplegia. Maintaining hemodynamic stability during spinal surgery is very important.

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Section: Discussionmentioning

confidence: 99%