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[Paraplegia and the sitting position].

S Mérat1, E Blondet, Y Le Gulluche

  • 1Département d'anesthésie-réanimation, hôpital d'Instruction des Armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France. schmart@free.fr

Annales Francaises D'Anesthesie Et De Reanimation
|August 24, 2002
PubMed
Summary

Neurosurgery in the sitting position can cause complications. Monitoring somatosensory evoked potentials (SSEP) may help detect post-operative paraplegia after Arnold Chiari surgery.

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Area of Science:

  • Neurosurgery
  • Neurology
  • Spinal Surgery

Background:

  • The sitting position in neurosurgery presents risks, including air embolism and neurological deficits.
  • Arnold Chiari malformation surgery requires careful patient positioning and monitoring.

Observation:

  • A 16-year-old male developed paraplegia post-surgery for Arnold Chiari disease.
  • The patient exhibited significant pre-existing risk factors and spinal abnormalities.

Findings:

  • The case highlights a severe neurological complication following neurosurgery in the sitting position.
  • Post-operative paraplegia occurred despite the surgical intervention for Arnold Chiari disease.

Implications:

  • Monitoring somatosensory evoked potentials (SSEP) during such surgeries is proposed.

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  • SSEP monitoring could enable early detection of neurological incidents, potentially preventing permanent deficits.