在腰椎手术期间,持续操纵与暂时性脑梗塞相吻合:说明案例
Ever A Hernandez1, Jonathan H Sherman2
1School of Medicine, West Virginia University, Morgantown, West Virginia.
Journal of neurosurgery. Case lessons
|October 28, 2024
概括
在腰椎手术期间对S1神经根的内科手术可以触发罕见的脊柱心脏反射,导致暂时性心血管梗塞. 这一案例凸显了在这些程序期间可能出现严重的血液动力学障碍.
科学领域:
- 神经外科 神经外科
- 心脏病学 心脏病学
- 脊髓医学 脊髓医学
背景情况:
- 腰椎手术期间的血液动力学障碍非常罕见.
- 只有七个先前的病例将手术期间的持续操纵与胸肌梗塞,低血压或心血管静脉失速联系起来.
研究的目的:
- 在腰椎手术期间报告一例过渡性心血管缩.
- 为了研究脊柱心脏反射的可能性.
主要方法:
- 一名39岁的男性患有L5-S1盘,接受了手术.
- 对S1神经根进行了操纵,引发了暂时性心跳骤停 (心率降至每分钟0跳).
- 排除了血液动力学变化的其他原因.
主要成果:
- 对S1神经根的操纵导致心率从每分钟51跳到0跳.
- 在停止手术刺激后,缩自发消失.
- 心血管事件与持续操纵相关.
结论:
- 这种情况支持心血管系统和脊柱硬质之间的一种脊柱心脏反射.
- 持续的操纵,直接或间接,与这些罕见的心血管事件有关.
- 在腰椎手术中提供了这种反射的进一步证据.
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