title: Anesthetic management of acute cervical spinal cord injury in pregnancy.
abstract: The incidence of traumatic spinal cord injury is 11,000 per year, with 55% of the injuries occurring between the age of 16 and 33, 18% of these in women of reproductive age. Diagnostic and early spinal decompression along with maintaining the mean arterial pressure to improve spinal cord perfusion and a high progesterone level in pregnancy for its neuroprotective and anti-inflammatory effect have the leading role in neurological recovery and clinical outcome. We present a case of a patient in the 17th week of pregnancy who sustained luxation fracture of the C5 and C6 vertebrae and tetraplegia as passenger in a road accident. The early operative treatment and appropriate anesthetic procedure resulted in good clinical outcome with complete neurological recovery.
authors: Senka
authors: S
authors: Baranović
authors: Branka
authors: B
authors: Maldini
authors: Tomislav
authors: T
authors: Cengić
authors: Robert
authors: R
authors: Kolundzić
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000777:Anesthetics / Q000627:therapeutic use*; D002574:Cervical Vertebrae / Q000293:injuries*; D005260:Female; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D009638:Norepinephrine / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013119:Spinal Cord Injuries / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016103:Spinal Fractures / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013123:Spinal Fusion; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000777:Anesthetics; D018696:Neuroprotective Agents; D014662:Vasoconstrictor Agents; D009638:Norepinephrine; D008775:Methylprednisolone