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Postoperative paraplegia in a patient with an unsuspected dural arterio-venous malformation
N Woodall1, N J Huggins, D A Jewkes
1Department of Anaesthesia, National Hospitals for Nervous Diseases, London.
British Journal of Anaesthesia
|May 1, 1990
Abstract:
We report a case in which laminectomy was performed in a patient with symptoms attributed to lumbar canal stenosis. The patient developed paraplegia in the early postoperative period. Further investigation revealed a dural arterio-venous malformation. This was treated surgically, producing some neurological recovery. The possible mechanisms for the perioperative deterioration and their implications for anaesthesia are discussed.