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Updated: Oct 22, 2025

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
[Spinal Cord Infarction after Right Upper Lobectomy Combined with Chest Wall Resection]
Yasuyuki Nakamura1, Ryuunosuke Maki, Yuma Shindo
1Department of Thoracic Surgery, Sapporo Medical University, Sapporo, Japan.
Abstract:
A 42-year-old man presented with a one-month history of back pain. Chest computed tomography revealed a mass (7.6×5.7 cm) in the right upper lobe, suspicious of chest wall invasion. We performed right upper lobectomy combined with chest wall resection. Partial dissections of the second to sixth ribs and the third and fourth vertebral bodies were conducted. Postoperatively, motor paralysis of the right lower extremity was observed and a diagnosis of spinal infarction was made. After cerebrospinal fluid drainage and administration of edaravone with early rehabilitation, he was able to walk with a brace and was discharged from the hospital.

