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Ann Thorac Surg 1996;62:278-280
© 1996 The Society of Thoracic Surgeons


Case Report

Irreversible Tetraplegia After Tracheal Resection

Jaime Domínguez, MD, Juan J. Rivas, MD, Ramiro D. Lobato, MD, Vicente Díaz, MD, Emilio Larrú, MD

Departments of Neurosurgery and Thoracic Surgery, Hospital "12 de Octubre", Madrid, Spain

Accepted for publication January 20, 1996.

The case of a 21-year-old woman without previous cervical pathology in whom irreversible tetraplegia developed after operation for tracheal stenosis is reported. After tracheal resection the neck was kept in extreme flexion and after extubation she was moved to a sitting position. The different causal agents that could produce the neurologic damage remain unclear, although we think that the combination of relative arterial hypotension secondary to the sitting position and disturbed autorregulation, caused by extreme neck flexion, could result in ischemic spinal cord injury.


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Invited Commentary
Hermes C. Grillo
Ann. Thorac. Surg. 1996 62: 280. [Extract] [Full Text]



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