Document Detail

Recurrent, massive pulmonary embolism in chronic myelopathy: a case report.
MedLine Citation:
PMID:  20479769     Owner:  NLM     Status:  In-Data-Review    
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.
J H Frisbie; G V R K Sharma
Related Documents :
6154669 - Lymphatic neovascularization after orchiopexy.
16708739 - Massive epistaxis secondary to pseudoaneurysm of internal carotid artery.
16113559 - Sudden death because of massive pulmonary thromboembolism and concomitant cerebrovascul...
20222389 - Thrombolytic therapy in pulmonary embolism.
17045669 - Oozing type of left ventricular rupture via subepicardial aneurysm diagnosed 5 months a...
4028669 - Rupture of vascular prosthesis in a patient with yersinia enterocolitica bacteremia.
8374099 - Retroperitoneal haematoma due to ruptured microaneurysm of the pancreaticoduodenal artery.
2459529 - Reactivity of the canine isolated internal mammary artery, saphenous vein, and coronary...
8748599 - Anatomical findings in microsurgical vascular decompression for trigeminal neuralgia. c...
Publication Detail:
Type:  Journal Article     Date:  2010-05-18
Journal Detail:
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:
Created Date:  2011-02-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  318-20     Citation Subset:  IM    
Research Service, VA Boston Healthcare System, and Harvard Medical School, Boston, MA, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Retraction: Stimulation of the sacral nerve reduces gut bacterial translocation and endotoxemia caus...
Next Document:  The population genetics of antibiotic resistance: integrating molecular mechanisms and treatment con...