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Updated: May 10, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

Cervical spinal cord compression after thyroidectomy under general anesthesia.

Wenlong Yao¹, Jin Qiu, Zhiqiang Zhou

¹Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Journal of Anesthesia

|July 6, 2013

Summary

This summary is machine-generated.

Cervical spinal cord injury can occur after general anesthesia, even without prior instability. Surgical positioning may induce disc protrusion, leading to symptoms that require surgical intervention for recovery.

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Last Updated: May 10, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

Area of Science:

Anesthesiology
Neurosurgery
Spinal Medicine

Background:

Cervical spinal cord injury is a rare but serious complication following general anesthesia.
Risk factors include traumatic cervical injury, cervical spine instability, and difficult airway management.
Cases have been reported even without pre-existing cervical instability.

Observation:

A patient with a history of intermittent neck pain and preoperative degenerative cervical spine changes underwent thyroidectomy under general anesthesia.
Postoperatively, the patient developed progressive tingling and numbness in her limbs.
Magnetic resonance imaging revealed a C5-C6 cervical disc protrusion into the spinal canal.

Findings:

The cervical disc protrusion was considered to be induced by surgical positioning during the thyroidectomy.
The patient's symptoms of progressive limb tingling and numbness were directly linked to the induced cervical disc protrusion.
Surgical intervention, specifically anterior cervical decompression and internal fixation, was performed.

Implications:

This case highlights that surgical positioning can precipitate cervical spinal cord injury, even in patients with degenerative changes and no prior instability.
Early diagnosis via MRI and prompt surgical decompression are crucial for patient recovery.
Anesthesiologists and surgeons should be vigilant about potential cervical spine complications related to patient positioning during surgery.