Document Detail

Permanent cardiac pacemaker for cardiac arrest following cervico-dorsal spinal injury.
MedLine Citation:
PMID:  19330363     Owner:  NLM     Status:  MEDLINE    
Bradycardia and rarely cardiac arrest as a complication of cervical spine injury due to reduced sympathetic activity is well known, which usually settles down in 4-6 weeks of injury. There are few case reports in literature of high cervical spinal cord injury requiring permanent cardiac pacemaker due to this complication, but an injury as low as cervico-dorsal junction requiring permanent cardiac pacemaker has never been reported. A 47-year-old male suffered traumatic C7-D1 dislocation and continued to have severe bradycardia with multiple episodes of cardiac arrest till 2 months after injury, which finally warranted permanent cardiac pacemaker as a life saving measure. Following permanent cardiac pacemaker no cardiac arrest occurred and the patient was successfully rehabilitated. The case directs our attention to a rare complication of cardiac arrest occurring in an injury as low as cervico-dorsal junction when all other causes are ruled out and shows importance of using permanent cardiac pacemaker to ensure patient safety in community.
Amish V Sanghvi; Harvinder Singh Chhabra; Vishal Nigam; Vikas Tandon; Amrithlal A Mascarenhas
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-28
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  18 Suppl 2     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-21     Completed Date:  2009-11-17     Revised Date:  2010-09-22    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  254-7     Citation Subset:  IM    
Indian Spinal Injuries Centre, Sector C, Vasant-kunj, New Delhi, India.
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MeSH Terms
Cervical Vertebrae / pathology
Heart Arrest / etiology*,  therapy*
Magnetic Resonance Imaging
Middle Aged
Pacemaker, Artificial*
Spinal Cord Injuries / complications*
Treatment Outcome

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