Lateral medullary syndrome after prone position for general surgery.
We describe postoperative lateral medullary syndrome with myoclonic spasm. Improper head rotation during positioning in the anesthetized patient might obstruct the flow of the vertebral artery at the neck and result in diminished perfusion of the associated regions in patients with a history of cervical spinal trauma.
Chu
Ya-Chun
YC
Department of Anesthesiology, Taipei-Veterans General Hospital and National Yang-Ming University, School of Medicine, Taipei 11221, Taiwan.
Tsai
Shen-Kou
SK
Chan
Kwok-Hon
KH
Kao
Sheng-Chin
SC
Liang
Ching-Huang
CH
Lin
Su-Man
SM
D000328:Adult; D001927:Brain Diseases / Q000209:etiology* / Q000473:pathology; D002536:Cerebral Arteries / Q000473:pathology; D007839:Functional Laterality / Q000502:physiology; D018757:GABA Modulators / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008526:Medulla Oblongata; D008874:Midazolam / Q000627:therapeutic use; D009207:Myoclonus / Q000209:etiology; D010102:Oxygen Inhalation Therapy; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology*; D016684:Prone Position / Q000502:physiology*; D013514:Surgical Procedures, Operative / Q000009:adverse effects*
D018757:GABA Modulators; D008874:Midazolam