Rhabdomyolysis after transnasal repair of anterior basal encephalocele.
BACKGROUND
Postoperative Rhabdomyolysis (RM) is rare after neurosurgical procedures. Furthermore, it has not been observed after transnasal approaches. The authors report a case of idiopathic RM occurring after transnasal resection of a sincipital encephalocele.


METHODS
A 32-year-old woman underwent a transnasal resection of a sincipital encephalocele after 6 years of intermittent clear nasal drainage. Postoperatively, she experienced severe back pain, peripheral neuropathy, associated with a markedly elevated creatinine kinase, and severe RM. The patient was treated with hydration and forced urine alkalization and treated symptomatically for her pain and neuropathy. She ultimately made a full recovery without complication.


CONCLUSIONS
Rhabdomyolysis is a rare but known complication of neurosurgical procedures. We report the first known case report of RM after a transnasal procedure. Furthermore, a review of documented postneurosurgical cases of RM is presented and reveals that the causes and risk factors for this complication after neurosurgery are similar to those in other surgical subspecialties.
Van Gompel
Jamie J
JJ
Department of Neurosurgery, Mayo Clinic and Mayo College of Medicine, Rochester, MN 55905, USA.
Khan
Yasin A
YA
Bloomfield
Eric L
EL
Pallanch
John F
JF
Atkinson
John L D
JL
D000328:Adult; D001416:Back Pain / Q000209:etiology / Q000628:therapy; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery; D003402:Creatine Kinase / Q000097:blood; D004677:Encephalocele / Q000601:surgery*; D004724:Endoscopy; D005004:Ethmoid Bone / Q000601:surgery; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D009212:Myoglobinuria / Q000209:etiology / Q000628:therapy; D009767:Obesity, Morbid / Q000150:complications; D010523:Peripheral Nervous System Diseases / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012206:Rhabdomyolysis / Q000209:etiology* / Q000628:therapy
D003402:Creatine Kinase