| Recurrent, massive pulmonary embolism in chronic myelopathy: a case report. | |
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MedLine Citation:
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PMID: 20479769 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Study design:Case report.Objectives:The aim of this report was to describe an example of pulmonary embolism (PE), recently suggested to be highly prevalent in persons with chronic spinal cord lesions.Setting:Veterans Affairs Hospital, Boston, MA, USA.Methods:Chart review.Results:A 60-year-old man with paraplegia, T10 motor complete, underwent laminectomy for correction of an arteriovenous malformation. After 41 days, he sustained a massive PE-suggested by right bundle branch block (RBBB) on an electrocardiogram (ECG) and diagnosed by perfusion lung scanning. He was treated with anticoagulants, the lung scan and RBBB resolving within 1 month of initiating treatment. After 5 years, he developed vertebral osteomyelitis at L5-S1 and was treated with antibiotics and bed rest. After 7 days, he was mobilized to a wheelchair, and during a transfer back to bed, he developed anxiety, dyspnea, fluctuating consciousness, low blood pressure and RBBB, absent by ECG 4 days earlier. He expired 20 min after onset of symptoms. The autopsy revealed a fresh thromboembolus occluding both main stem branches of the pulmonary artery.Conclusion:Massive PE after surgery in a patient with chronic paraplegia recurred 5 years later in association with severe infection and mobilization after bed rest, which resulted in death. |
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Authors:
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J H Frisbie; G V R K Sharma |
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Publication Detail:
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Type: Journal Article Date: 2010-05-18 |
Journal Detail:
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Title: Spinal cord : the official journal of the International Medical Society of Paraplegia Volume: 49 ISSN: 1476-5624 ISO Abbreviation: Spinal Cord Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609749 Medline TA: Spinal Cord Country: England |
Other Details:
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Languages: eng Pagination: 318-20 Citation Subset: IM |
Affiliation:
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Research Service, VA Boston Healthcare System, and Harvard Medical School, Boston, MA, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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