INTERNAL CAROTID-ARTERY THROMBOSIS AFTER CERVICAL CORPECTOMY

被引：23

作者：

CHOZICK, BS

WATSON, P

GREENBLATT, SH

机构：

[1] Department of Clinical Neuroscience, Program in Neurosurgery, Brown University and Rhode Island Hospital, Providence, RI

来源：

SPINE | 1994年 / 19卷 / 19期

关键词：

CAROTID ARTERY THROMBOSIS; CEREBRAL INFARCTION; CORPECTOMY; DOPPLER ULTRASOUND; POSTERIOR LONGITUDINAL LIGAMENT;

D O I：

10.1097/00007632-199410000-00020

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Summary of Background Data. A 74-year-old man suffered an extensive right hemispheric infarct 72 hours after undergoing anterior corpectomies of the C4 and C5 vertebrae for cervical myelopathy resulting from ossification of the posterior longitudinal ligament. Results. Angiography revealed proximal right internal carotid artery thrombosis with atherosclerosis and a normal left internal carotid artery. The thrombosis may have been due to stasis during lengthy retraction of an atherosclerotic carotid artery. Conclusions. Preoperative screening of internal carotid artery blood flow with Doppler ultrasonography is recommended before contemplating extensive anterior cervical surgery in middle-aged and elderly patients at significant risk for atherosclerotic disease.

引用

页码：2230 / 2232

页数：3

共 11 条

[1] Graham J.J., Complications of cervical spine surgery, Spine, 14, pp. 1046-1050, (1989)
[2] Harsh G., Sypert G.W., Weinstein P.R., Ross D.A., Wilson C.B., Cervical spine stenosis secondary to ossification of the posterior longitudinal ligament, J Neurosurg, 67, pp. 349-357, (1987)
[3] Hukuda S., Ogata M., Katsuura A., Experimental study on acute aggravating factors of cervical spondylotic myelopathy, Spine, 13, pp. 15-20, (1988)
[4] Kessler J., Congenital narrowing of the cervical spinal canal, J Neurol Neurosurg Psychiatry, 38, pp. 1218-1224, (1975)
[5] Kojima T., Waga S., Kubo Y., Kanamaru K., Shimosaka S., Shimizu T., Anterior cervical vertebrectomy and interbody fusion for multi-level spondylosis and ossification of the posterior longitudinal ligament, Neurosurgery, 24, pp. 864-872, (1989)
[6] Larocca H., Cervical spondylotic myelopathy, Natural History. Spine, 13, pp. 554-555, (1988)
[7] Lesoin F., Bouasakao N., Clarisse J., Rousseaux M., Jomin M., Results of surgical treatment of radiculopathy caused by cervical arthrosis based on 1000 operations, Surg Neurol, 23, pp. 350-355, (1985)
[8] Saunders R.L., Anterior reconstructive procedures in cervical spondylotic myelopathy, Clin Neurosurg, 37, pp. 682-721, (1989)
[9] Saunders R.L., Bernini P.M., Shirreffs T.G., Reeves A.G., Central corpectomy for cervical spondylotic myelopathy: A consecutive series with long-term follow-up evaluation, J Neurosurg, 74, pp. 163-170, (1991)
[10] Tew J.M., Mayfield F.H., Complications of surgery of the anterior cervical spine, Clin Neurosurg, 23, pp. 424-434, (1975)

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