Document Detail


Spinal cord infarction following surgery for mesenteric vascular occlusion.
MedLine Citation:
PMID:  18046296     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of spinal cord infarction following an operation on a 64-year-old man for mesenteric vascular occlusion under combined general and epidural anesthesia. Several etiological factors, each one able to affect blood flow in the spinal cord and cause infarction, might have been present in our patient, including generalized degenerative atherosclerotic vascular disease, secondary polycythemia resulting from the patient's chronic obstructive pulmonary disease, and intraoperative hypotensive episodes. This case shows that, even with careful technique, hemodynamic monitoring, and early evaluation of neurologic status, patients can experience irreversible spinal cord ischaemia that results in permanent paraplegia.
Authors:
A Bbairaktari; M Kokolaki; M Vafiadou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minerva anestesiologica     Volume:  73     ISSN:  0375-9393     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-29     Completed Date:  2008-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  651-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Sismanoglion General Hospital, Athens, Greece. dtsiabai@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Epidural
Anesthesia, General
Humans
Infarction / etiology*,  therapy
Male
Mesenteric Vascular Occlusion / complications,  surgery*
Middle Aged
Postoperative Complications / etiology*,  therapy
Regional Blood Flow
Spinal Cord / blood supply*

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


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