Postoperative paraplegia with preserved intraoperative somatosensory evoked potentials. Case report.
Intraoperative somatosensory evoked potentials (SSEP's) are being used with increasing frequency to monitor neurological function during spinal surgery. The authors report a case of postoperative paraplegia that occurred despite preserved intraoperative SSEP's in an achondroplastic dwarf who underwent correction of a congenital kyphoscoliosis. Surgeons and anesthesiologists involved with SSEP monitoring should be aware that false-negative results may occur with this technique.
D002648:Child; D004392:Dwarfism / Q000150:complications; D005073:Evoked Potentials, Somatosensory; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007738:Kyphosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008991:Monitoring, Physiologic / Q000379:methods*; D010264:Paraplegia / Q000209:etiology*; D011183:Postoperative Complications; D011859:Radiography; D013123:Spinal Fusion / Q000009:adverse effects