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

页码：819 / 821

页数：3

共 7 条

[1] BREIG A, 1960, BIOMECHANICS CENTRAL, P63
[2] BUCHHEIT WA, 1985, NEUROSURGERY, P720
[3] HITSELBERGER WE, 1980, ARCH OTOLARYNGOL, V106, P69
[4] CERVICAL FLEXION MYELOPATHY - A TIGHT DURAL CANAL MECHANISM - CASE-REPORT
IWASAKI, Y
TASHIRO, K
KIKUCHI, S
KITAGAWA, M
ISU, T
ABE, H
[J]. JOURNAL OF NEUROSURGERY, 1987, 66 (06) : 935 - 937
[5] Kurze T, 1979, Clin Neurosurg, V26, P463
[6] AN UNUSUAL CASE OF FLEXION INJURY OF THE CERVICAL-SPINE
LEVY, LM
[J]. SURGICAL NEUROLOGY, 1982, 17 (04): : 255 - 259
[7] WILDER BL, 1982, NEUROSURGERY, V11, P530

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