title: Lateral medullary syndrome after prone position for general surgery.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Taipei-Veterans General Hospital and National Yang-Ming University, School of Medicine, Taipei 11221, Taiwan.
authors.forename: Ya-Chun
authors.initials: YC
authors.lastname: Chu
authors.forename: Shen-Kou
authors.initials: SK
authors.lastname: Tsai
authors.forename: Kwok-Hon
authors.initials: KH
authors.lastname: Chan
authors.forename: Sheng-Chin
authors.initials: SC
authors.lastname: Kao
authors.forename: Ching-Huang
authors.initials: CH
authors.lastname: Liang
authors.forename: Su-Man
authors.initials: SM
authors.lastname: Lin
mesh_terms: 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*
chemical_list: D018757:GABA Modulators; D008874:Midazolam