title: [Case of postoperative paraplegia caused by idiopathic spinal cord infarction in a young male patient].
abstract: We report a case of spinal cord infarction in a 20-year-old man, who underwent abdominal surgery under general anesthesia combined with epidural anesthesia. The patient was a healthy young man with no medical history. After the operation, he complained of weakness and sensory blockade of both legs. MRI revealed spinal cord infarction at the T9-10 vertebral levels. Steroid pulse therapy was introduced, and paraplegia almost disappeared. Spinal cord infarction in a young man is very rare, but should be considered in case of postoperative paraplegia even in a young patient.
authors.affiliation: Department of Anesthesiology, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8640.
authors.forename: Kei
authors.initials: K
authors.lastname: Kamiutsuri
authors.forename: Hiroko
authors.initials: H
authors.lastname: Minai
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yamada
authors.forename: Ken
authors.initials: K
authors.lastname: Yamamoto
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D004334:Drug Administration Schedule; D006801:Humans; D007238:Infarction / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008776:Methylprednisolone Hemisuccinate / Q000008:administration & dosage; D010264:Paraplegia / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D020551:Pulse Therapy, Drug; D013116:Spinal Cord / Q000098:blood supply*; D016896:Treatment Outcome
chemical_list: D008776:Methylprednisolone Hemisuccinate