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[Cervical spondylosis revealed after general anesthesia]
Kazuhiko Saitoh1, Makiko Kai, Jiro Mitamura
1Department of Anesthesiology and Intensive Care Medicine, Jichi Medical School, Tochigi 329-0498.
Masui. the Japanese Journal of Anesthesiology
|July 24, 2002
Summary
A postoperative nerve injury case highlights that cervical spondylotic radiculopathy, not just peripheral nerve damage, can cause perioperative neuropathy after surgery.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Perioperative neuropathy is a rare but serious complication following surgical procedures.
- Femoral artery bypass graft surgery involves potential risks to peripheral nerves.
Observation:
- A 70-year-old male patient experienced left forearm paralysis and numbness 1.5 hours post-femoral artery bypass graft.
- Initial assessment considered peripheral nerve injury as the cause.
Findings:
- Cervical spine magnetic resonance imaging (MRI) revealed cervical spondylotic radiculopathy.
- The MRI findings provided a plausible explanation for the patient's neurological symptoms.
Implications:
- This case underscores that cervical radiculopathy can significantly contribute to perioperative neuropathy.
- Consideration of both central and peripheral causes is crucial for diagnosing postoperative neurological deficits.