Document Detail


Anterior spinal artery syndrome. Paraplegia following segmental ischaemic injury to the spinal cord after oesophagectomy.
MedLine Citation:
PMID:  7747855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of unexpected paraplegia after oesophageal resection under general anaesthesia combined with epidural analgesia and intra-operative intercostal block is described. Patients with compromised cardiovascular and respiratory function undergoing thoracic or major abdominal surgery can benefit significantly intra-operatively from a combination of general anaesthesia and regional analgesia. The continued use of regional analgesia into the postoperative period offers even more advantages. General anaesthesia administered before regional analgesia may, however, mask complications related to the regional technique and delay the instigation of corrective measures. The blood supply to the anterior part of the spinal cord, through the artery of Adamkiewicz, may be impaired intra-operatively leading to neurological sequelae known as the anterior spinal artery syndrome, characterised by loss of motor function with intact or partially intact sensory function. Patients at risk of developing the syndrome can be identified pre-operatively.
Authors:
H Djurberg; M Haddad
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  50     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-06-15     Completed Date:  1995-06-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Anaesthesia, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anesthesia, Epidural
Anesthesia, General
Esophagectomy*
Humans
Ischemia / complications,  diagnosis,  etiology*
Magnetic Resonance Imaging
Male
Nerve Block / adverse effects*
Paraplegia / etiology*
Spinal Cord / blood supply*,  pathology
Syndrome
Comments/Corrections
Comment In:
Anaesthesia. 1995 Aug;50(8):745-6   [PMID:  7645719 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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