[Paraplegia and the sitting position].
The sitting position in neurosurgery may lead to complications such as air embolism and neurological complications. We report the case of a 16-year-old male who suffered from post-operation paraplegia after surgery for Arnold Chiari disease. This patient had several risk factors and serious morphological spinal abnormalities. We propose to include monitoring of somatosensory evoked potentials (SSEP) during this surgery in order to detect this type of devastating incident.
Département d'anesthésie-réanimation, hôpital d'Instruction des Armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France. schmart@free.fr
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S
Mérat
E
E
Blondet
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Y
Le Gulluche
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T
Faillot
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L
Brinquin
D000293:Adolescent; D001139:Arnold-Chiari Malformation / Q000601:surgery; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D010264:Paraplegia / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture / Q000502:physiology*; D013131:Spine / Q000002:abnormalities