Volatile Hypertension Following Anterior Cervical Discectomy and Fusion: A Case Report
Spencer H Summers1, Karim Sabeh1,2, Jonathan Gottlieb1,2
1Department of Orthopaedics and Rehabilitation, Leonard M. Miller School of Medicine, University of Miami, Miami, Florida.
JBJS Case Connector
|December 19, 2017
Summary
Baroreflex failure syndrome can cause severe hypertension after anterior cervical discectomy and fusion (ACDF). Early diagnosis and management are key to patient recovery and preventing complications.
Area of Science:
- Neurosurgery
- Cardiology
- Neurology
Background:
- Cervical spondylosis is a common condition requiring surgical intervention.
- Anterior cervical discectomy and fusion (ACDF) is a standard surgical procedure for cervical spondylosis.
- Postoperative complications can significantly impact patient outcomes.
Purpose of the Study:
- To report a case of baroreflex failure syndrome following ACDF.
- To highlight the importance of recognizing this rare complication.
- To discuss the management and outcomes of this condition.
Main Methods:
- A case study of a 61-year-old male patient who underwent ACDF.
- Detailed description of postoperative symptoms including paroxysmal hypertension, diaphoresis, and anxiety.
- Diagnosis of baroreflex failure syndrome and subsequent management with a three-drug regimen.
Main Results:
- The patient experienced severe, difficult-to-control hypertension and anxiety post-ACDF.
- The patient required re-hospitalization due to persistent symptoms.
- Successful management with a three-drug regimen led to complete symptom resolution at seven months.
Conclusions:
- Baroreflex failure syndrome is a critical consideration in patients with volatile hypertension post-ACDF.
- Prompt diagnosis and specialist referral are essential for optimal patient management.
- Early recognition can decrease patient morbidity and improve recovery.
