Midcervical flexion myelopathy after posterior fossa surgery in the sitting position: Case report

被引：29
|
作者：
Haisa, T
Kondo, T
机构：
[1] Department of Neurosurgery, Natl. Med. Ctr. and Intl. Coop., Tokyo
[2] Department of Neurosurgery, Natl. Med. Ctr. and Intl. Coop., Shinjuku-ku, Tokyo 162, 1-21-1, Toyama
来源：
NEUROSURGERY | 1996年 / 38卷 / 04期
关键词：
flexion; myelopathy; posterior fossa surgery; sitting position;
D O I：
10.1227/00006123-199604000-00037
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
MIDCERVICAL QUADRIPLEGIA IS a well-known complication of posterior fossa surgery performed with the patient in the sitting position. The case of a 24-year-old man with a fourth ventricular choroid plexus papilloma is described. The patient developed reversible quadriparesis after surgery in the sitting position; postoperative magnetic resonance imaging demonstrated a hyperintense area within the cervical cord at C5-C6 on T2-weighted images, which was considered to represent ''midcervical flexion myelopathy.'' It is suggested that the prolonged stretch and compression of the cervical cord is the pathogenesis of this serious complication.
引用
收藏
页码：819 / 821
页数：3
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