Spinal Cord Ischemia Occurring in Association with Induced Hypotension for Colonic Surgery

被引：13

作者：

Drummond, John C. ^{[1
,4
]}

Lee, Roland R. ^{[2
,4
]}

Owens, Erik L. ^{[3
,4
]}

机构：

[1] Univ Calif San Diego, Dept Anesthesiol, San Diego, CA 92103 USA

[2] Univ Calif San Diego, Dept Radiol, San Diego, CA 92103 USA

[3] Univ Calif San Diego, Dept Surg, San Diego, CA 92103 USA

[4] VA Med Ctr, San Diego, CA USA

来源：

ANESTHESIA AND ANALGESIA | 2012年 / 114卷 / 06期

关键词：

ARTERY SYNDROME; INFARCTION;

D O I：

10.1213/ANE.0b013e31823aca2b

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

A 19-year-old woman underwent an ileoanal pull-through. Intraoperatively, deepening of anesthesia was associated with reduced bleeding. Therefore, induced hypotension, mean arterial blood pressure 50 to 55 mm Hg, was maintained for 2.5 hours. Postoperatively, the patient was paraplegic with spinal cord infarction on magnetic resonance imaging from T9 to the tip of the conus medullaris. The collateralization of the anterior spinal artery is very variable and it seems likely that in this individual induced hypotension was associated with inadequate blood flow in the distribution of the artery of Adamkiewicz. (Anesth Analg 2012;114:1297-1300)

引用

页码：1297 / 1300

页数：4

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