Naslov
Transient paraplegia after esophagectomy in a patient with thoracic epidural analgesia

Autori
Sulen, Nina ; Petani, Barbara ; Bačić, Ivan ; Šimurina, Tatjana

Izvornik
Periodicum biologorum (0031-5362) 115 (2013), 2; 289-291

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
epidural anesthesia; paraplegia; perioperative hypotension; esophagectomy

Sažetak
Paraplegia is a rare but devastating complication in esophageal surgery. Epidural analgesia is considered essential in perioperative management of patients with esophageal cancer but carries a risk of causing neurologic deficit. We present a case of sudden postoperative paraplegia and numbness of lower extremities followed shortly after with hypotension and loss of consciousness in a 47-year old patient who underwent total esophagectomy and esophagogastroplasty with thoracic epidural analgesia. Paraplegia was short-lived and resolved with hemodynamic stabilization. We discuss poss- iblecausesofneurologicdeficitinthispatientandemphasisetheimportance of maintaining spinal cord perfussion pressure by avoiding perioperative hypotension.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA