Acute Paraplegia after General Anesthesia
Abstract
Acute paraplegia is a rare but catastrophic complication of surgeries performed on aorta and corrective operations of vertebral column. Trauma to spinal cord after spinal anesthesia and ischemia of spinal cord also may lead to acute paraplegia. Acute paraplegia as a complication of general anesthesia in surgeries performed on sites other than aorta and vertebral column is very rare. Here we present a 56 year old woman with acute paraplegia due to spinal cord infarction after laparoscopic cholecystectomy under general anesthesia probably caused by atherosclerosis of feeding spinal arteries and ischemia of spinal cord after reduction of blood flow possibly due to hypotension during general anesthesia.
Ropper AH, Brown RH. Adams and Victor's Principles of Neurology. 8th ed. New York: McGraw-Hill; 2005.
Sellner J, Luthi N, Buhler R Gebhardt A,Findling O,greevel I,Mattle HP . Acute partial transverse myelitis: risk factors for conversion to multiple sclerosis. Eur J Neurol 2008;15:398-405.
Sellner J, Luthi N, Schupbach WM,Gebhardt A,Findling O,Schroth G,Mattle HP,Nedeltchev K . Diagnostic workup of patients with acute transverse myelitis: spectrum of clinical presentation, neuroimaging and laboratory findings. Spinal Cord 2009;47:312-7.
Stephen LH, Ropper AH. diseases of the spinal cord. In:Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, editors. Harrison,s principles of internal medicine. 16th ed. New York: McGraw-Hill; 2005. p. 2438-46.
Wong DR, Coselli JS, Amerman K, Bozinovski J, Carter SA, Vaughn WK, LeMaire SA. Delayed spinal cord deficits after thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 2007;83:1345-55.
Winnerkvist A, Anderson RE, Hansson LO,Rosengren L, Estrera AE, Huynh TT, Porat EE, Safi HJ. Multilevel somatosensory evoked potentials and cerebrospinal proteins: indicators of spinal cord injury in thoracoabdominal aortic aneurysm surgery. Eur J Cardiothorac Surg 2007;31:637-42.
Marini CP, Cunningham JN, Jr. Issues surrounding spinal cord protection. Adv Card Surg 1993;4:89-107.
Delank KS, Delank HW, Konig DP, Popken F, Furderer S, Eysel P. Iatrogenic paraplegia in spinal surgery. Arch Orthop Trauma Surg 2005;125:33-41.
Stockl B, Wimmer C, Innerhofer P, Kofler M, Behensky H. Delayed anterior spinal artery syndrome followingposterior scoliosis correction. Eur Spine J 2005;14:906-9.
Gaudin P, Lefant D. [Paraplegia after epidural anesthesia for vascular surgery]. Ann Fr Anesth Reanim 1991;10:468-71.
Hachisuka K, Ogata H, Kohshi K. Post-operative paraplegia with spinal myoclonus possibly caused by epidural anaesthesia: case report. Paraplegia 1991;29:131-6.
Linz SM, Charbonnet C, Mikhail MS,Vadehra N,Zelman V,Katz RL,Thanquthurai D. Spinal artery syndrome masked by postoperative epidural analgesia. Can J Anaesth 1997;44:1178-81.
Brinar VV, Habek M, Zadro I, Barun B, Ozretic D, Vranjes D. Current concepts in the diagnosis of transverse myelopathies. Clin Neurol Neurosurg 2008;110:919-27.
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Issue | Vol 49, No 8 (2011) | |
Section | Original Article(s) | |
Keywords | ||
Laparoscopic cholecystectomy General anesthesia complications Acute paraplegia |
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