Posterior Spinal Cord Syndrome after Flexible Ureteroscopy for Kidney Stones.
A 49-year-old woman was treated for right kidney stones using flexible ureteroscopy and laser lithotripsy. She was readmitted 2 weeks after the treatment with complaints of walking difficulties. On neurologic examination, it was found that she had a bilateral proprioceptive dysfunction. Spinal MRI revealed an intramedullary lesion at the T10-T11 level consistent with an intramedullary cavernoma. The final diagnosis was a spinal compression consecutive to the cavernoma bleeding associated with the prolonged lithotomy position. Symptoms have not been reversible and the patient continued to have walking difficulties. We report for the first time a major complication that arises as a result of using flexible ureteroscopy for treating kidney stones.
Department of Urology, Angers University Hospital, Angers, France.
Julie
J
Carrouget
Myriam
M
Ammi
Cosmina
C
Nedelcu
Julien
J
Cassereau
Souhil
S
Lebdai
Abdel Rahmène
AR
Azzouzi
Pierre
P
Bigot
D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D007669:Kidney Calculi / Q000628:therapy*; D017602:Lithotripsy, Laser / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013116:Spinal Cord / Q000473:pathology; D013119:Spinal Cord Injuries / Q000209:etiology*; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000628:therapy; D020709:Ureteroscopes; D018666:Ureteroscopy / Q000009:adverse effects*; D016138:Walking