[Ischemic lesions in the vertebral artery blood flow area as a rare complication of lumbar disk surgery].
We report on the case of a 61-year old man who developed a reversible Brown-Sequard syndrome immediately after an uncomplicated lumbar discectomy. Magnetic resonance imaging showed ischaemic lesions in the upper cervical medulla, the caudal part of the medulla oblongata, and in the cerebellum. Vertebral artery compression due to spondylosis and hyperflexion of the cervical spine during operation is discussed as a possible pathogenetic mechanism.
Langmayr
J J
JJ
Universitätsklinik für Neurochirurgie, Innsbruck.
Buchberger
W
W
Birbammer
G
G
D002545:Brain Ischemia / Q000175:diagnosis; D002531:Cerebellum / Q000098:blood supply*; D003287:Contrast Media; D019786:Gadolinium DTPA; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata / Q000098:blood supply*; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives; D011183:Postoperative Complications / Q000175:diagnosis*; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis*
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA
Ischämische Läsionen im Vertebralisstromgebiet als seltene Komplikation der lumbalen Diskuschirurgie.