Acute cervical spinal cord injury after head and neck surgery: A CARE case report

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-01 DOI:10.1016/j.anorl.2023.09.003

G. Chambrin, C. La Croix, E. Jameleddine, O. Laccourreve

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引用次数: 0

Abstract

Objective

To describe and analyze a case of acute spinal cord injury after head and neck surgery.

Description

One hour after left lobo-isthmectomy under laryngeal neuromonitoring for a 3-cm EU-TIRADS 4 – Bethesda 4 thyroid nodule in a 48-year-old euthyroid male without any known comorbidity, left hemiparesis occurred. Cervical spine MRI showed an anteromedial herniated C6-7 disk with medullary compression. The disk was resected, compression was released and C6-7 fusion was performed via an anterior cervical approach on postoperative day 1. Postoperative course was unremarkable, with complete recovery of motion within 2 days. One month later, neurological clinical examination was normal and interview revealed left cervicalgia with onset a few days prior to lobo-isthmectomy. One year later, at the time of writing, the patient was doing fine.

Conclusion

Otorhinolaryngologists and head and neck surgeons must be aware of the risk of acute cervical spinal injury after cervical mobilization in head and neck surgery, and should take all measures to avoid this exceptional but dramatic complication.

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头颈部手术后急性颈脊髓损伤：一例CARE病例报告。

目的：描述和分析一例头颈部手术后急性脊髓损伤病例。描述：一名48岁的甲状腺功能正常男性，在喉部神经监测下切除左叶峡部3厘米EU-TIRADS 4-Bethesda 4甲状腺结节一小时后，出现左偏瘫。颈椎MRI显示C6-7椎间盘前内侧突出，伴有髓质压迫。术后第1天切除椎间盘，释放压迫，通过颈前路进行C6-7融合。术后过程不明显，2天内完全恢复活动。一个月后，神经系统临床检查正常，访谈显示左侧颈痛在额叶峡部切除术前几天发作。一年后，在撰写本文时，患者情况良好。结论：耳鼻喉科医生和头颈外科医生必须意识到在头颈部手术中进行颈椎松动术后发生急性颈椎损伤的风险，并应采取一切措施避免这种特殊但严重的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.