Paraplegia after Hypotension with Pneumothorax Episode during Thoracic Spine Tumor Surgery.
Case Rep Neurol Med 2021;
2021:2232769. [PMID:
34725574 PMCID:
PMC8557050 DOI:
10.1155/2021/2232769]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 10/06/2021] [Accepted: 10/12/2021] [Indexed: 11/18/2022] Open
Abstract
Paraplegia after spine surgery is a catastrophic complication. Here, we present a patient who, following laminectomy and fusion for decompression of metastatic tumor, developed paraplegia. We tried to find out the possible reason for the paraplegia. Due to prolonged hypotension during operation and new onset of pneumothorax, we think that intraoperative prolonged hypotension leads to the spinal cord ischemia which may cause neurological deterioration of paraplegia. Maintaining hemodynamic stability during spinal surgery is very important.
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