Document Detail

Irreversible tetraplegia after tracheal resection.
MedLine Citation:
PMID:  8678662     Owner:  NLM     Status:  MEDLINE    
The case of a 21-year-old woman without previous cervical pathology in whom irreversible tetraplegia developed after operation for tracheal stenosis is reported. After tracheal resection the neck was kept in extreme flexion and after extubation she was moved to a sitting position. The different causal agents that could produce the neurologic damage remain unclear, although we think that the combination of relative arterial hypotension secondary to the sitting position and disturbed autorregulation, caused by extreme neck flexion, could result in ischemic spinal cord injury.
J Domínguez; J J Rivas; R D Lobato; V Díaz; E Larrú
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  62     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-08-14     Completed Date:  1996-08-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  278-80     Citation Subset:  AIM; IM    
Department of Neurosurgery, Hospital 12 de Octubre, Madrid, Spain.
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MeSH Terms
Ischemia / etiology*
Postoperative Complications / etiology*
Quadriplegia / etiology*
Spinal Cord / blood supply*
Tracheal Stenosis / surgery*
Comment In:
Ann Thorac Surg. 1997 Aug;64(2):583   [PMID:  9262629 ]

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