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Ogilvie's syndrome after cervical discectomy
1Department of Neurosurgery, Faculty of Medicine, Black Sea Technical University, 61080, Trabzon, Turkey. ertugrulcakir@hotmail.com
Clinical Neurology and Neurosurgery
|November 21, 2001
Summary
Acute colonic pseudo-obstruction, or Ogilvie's syndrome, can occur after spine surgery. This case report details successful treatment of Ogilvie's syndrome following cervical discectomy using the parasympathetic agent neostigmine.
Area of Science:
- Gastroenterology
- Neurosurgery
- Anesthesiology
Background:
- Acute colonic pseudo-obstruction (Ogilvie's syndrome) presents as massive colonic dilatation without mechanical obstruction.
- Spinal surgeries, particularly lumbar procedures, are recognized potential causes.
- This condition can manifest even after non-lumbar spinal surgeries.
Observation:
- A patient developed Ogilvie's syndrome following a cervical discectomy.
- The syndrome was characterized by significant abdominal distention and colonic dilation.
Findings:
- The case of Ogilvie's syndrome post-cervical discectomy was successfully managed.
- Treatment involved the administration of neostigmine, a parasympathomimetic agent.
Implications:
- Cervical spine surgery should be considered an etiological factor for Ogilvie's syndrome.
- Neostigmine is an effective therapeutic option for managing this post-operative complication.
- This highlights the importance of recognizing non-mechanical colonic obstruction in the post-operative neurosurgical setting.