Spinal cord ischemia occurring in association with induced hypotension for colonic surgery.
Anesth Analg
; 114(6): 1297-300, 2012 Jun.
Article
em En
| MEDLINE
| ID: mdl-22075019
ABSTRACT
A 19-year-old woman underwent an ileoanal pull-through. Intraoperatively, deepening of anesthesia was associated with reduced bleeding. Therefore, induced hypotension, mean arterial blood pressure 50 to 55 mm Hg, was maintained for 2.5 hours. Postoperatively, the patient was paraplegic with spinal cord infarction on magnetic resonance imaging from T9 to the tip of the conus medullaris. The collateralization of the anterior spinal artery is very variable and it seems likely that in this individual induced hypotension was associated with inadequate blood flow in the distribution of the artery of Adamkiewicz.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medula Espinal
/
Pressão Sanguínea
/
Ileostomia
/
Colo
/
Isquemia do Cordão Espinal
/
Hipotensão
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos