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学科主题: 临床医学
题名:
A confounding coincidence: epidural anesthesia and paraplegia due to intramedullary tuberculoma in a patient who underwent cholecystectomy
作者: Wu, Changyi1; Zhang, Ying2; Xu, Jianmin3
关键词: Epidural anesthesia ; Intramedullary spinal tuberculoma ; Paraplegia
刊名: BMC ANESTHESIOLOGY
发表日期: 2014-11-05
DOI: 10.1186/1471-2253-14-100
卷: 14
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Anesthesiology
研究领域[WOS]: Anesthesiology
关键词[WOS]: SPINAL-CORD
英文摘要:

Background: Paraplegia associated with epidural anesthesia or caused by intramedullary spinal tuberculoma is rare but catastrophic. We present a case of paraplegia following epidural anesthesia in a patient with an undiagnosed intramedullary spinal tuberculoma.

Case presentation: A 42-year-old man developed paraplegia after an open cholecystectomy under epidural anesthesia. Spinal cord infarction, acute transverse myelitis, and intramedullary neoplasms were ruled out by histopathologic examination, and intramedullary spinal tuberculoma at the T-6-T-7 level was identified. Despite surgical treatment and subsequent antituberculous therapy, the patient retained some disability attributable to the delay in diagnosis.

Conclusion: Physicians should be aware of coexisting disease as a cause of paraplegia following procedures using epidural anesthesia. Magnetic resonance imaging is the most sensitive diagnostic test, although it is still difficult to differentiate spinal cord infarction, myelitis, intramedullary spinal tuberculoma, and neoplasms from imaging features alone.

语种: 英语
所属项目编号: 30901541
项目资助者: National Natural Science Foundation of China
WOS记录号: WOS:000347349900001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52482
Appears in Collections:北京大学第三临床医学院_麻醉科_期刊论文

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作者单位: 1.Peking Univ, Dept Anesthesiol, Hosp 3, Beijing 100191, Peoples R China
2.Capital Med Univ, Sch Rehabil Med, Boai Hosp, Rehabil Res Ctr,Dept Rehabil, Beijing 100068, Peoples R China
3.Boai Hosp, China Rehabil Res Ctr, Dept Radiol, Beijing 100068, Peoples R China

Recommended Citation:
Wu, Changyi,Zhang, Ying,Xu, Jianmin. A confounding coincidence: epidural anesthesia and paraplegia due to intramedullary tuberculoma in a patient who underwent cholecystectomy[J]. BMC ANESTHESIOLOGY,2014,14.
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