[Neurological sequelae caused by surgical procedures during adenoidectomy under anesthesia].
A five-year old boy with good risk was anesthetized with nitrous-oxide and halothane under orotracheal intubation for adenoidectomy and tubing of bilateral middle-ear cavities. Patient was on supine position with extension of neck. A mouth-gag was applied and the pharynx was packed with gauze. After long unskilled surgical procedures, severe neurological complications which were initiated with severe arrhythmias and followed by signs of paralysis of bilateral IX, X, XI, XII cranial nerves at their nuclei in medulla oblongata, were observed during the post-anesthetic period. The patient was saved with neurological sequelae of the cranial nerves and is alive after 6 years from the incident. The causes of this complications were discussed.
Saitoh
H
H
Department of Anesthesiology, Surugadai Nihon University Hospital, Tokyo.
Noda
Y
Y
Katsumata
N
N
Mase
K
K
Ogawa
S
S
Yazaki
S
S
Suzuki
H
H
D000233:Adenoidectomy / Q000009:adverse effects*; D000769:Anesthesia, Inhalation / Q000009:adverse effects; D001927:Brain Diseases / Q000209:etiology*; D002675:Child, Preschool; D003389:Cranial Nerve Diseases / Q000209:etiology; D006801:Humans; D008297:Male; D010243:Paralysis