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Quadriparesis from air emboli during percutaneous nephrolithotomy
Dustin L Hegland1, Benjamin K Canales2, Robert I Katz1
1Anesthesiology Service, Malcom Randall VA Medical Center, Gainesville, FL 32608, USA; Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL 32610, USA.
Journal of Clinical Anesthesia
|May 29, 2014
Summary
Quadriparesis, a severe complication, can occur after surgery. This case highlights multiple air microemboli as a cause of quadriparesis following percutaneous nephrolithotomy.
Area of Science:
- Neurosurgery
- Nephrology
- Vascular Neurology
Background:
- Quadriparesis is a serious complication that can arise from various central nervous system insults during surgical procedures.
- Percutaneous nephrolithotomy is a common procedure for kidney stone removal.
Observation:
- A case of quadriparesis is reported following a routine percutaneous nephrolithotomy.
- The patient experienced a sudden onset of quadriparesis after the surgery.
Findings:
- The cause of quadriparesis was identified as multiple air microemboli.
- Air microemboli are small bubbles of air that can travel through the bloodstream and obstruct blood flow.
Implications:
- This case underscores the importance of vigilance for paradoxical embolism during percutaneous nephrolithotomy.
- Preventive measures against air embolism should be considered in similar procedures.
- Early recognition and management of air embolism are crucial to minimize neurological deficits.
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