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学科主题临床医学
A confounding coincidence: epidural anesthesia and paraplegia due to intramedullary tuberculoma in a patient who underwent cholecystectomy
Wu, Changyi1; Zhang, Ying2; Xu, Jianmin3
关键词Epidural Anesthesia Intramedullary Spinal Tuberculoma Paraplegia
刊名BMC ANESTHESIOLOGY
2014-11-05
DOI10.1186/1471-2253-14-100
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
WOS记录号WOS:000347349900001
项目编号30901541
资助机构National Natural Science Foundation of China
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52482
专题北京大学第三临床医学院_麻醉科
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
推荐引用方式
GB/T 7714
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.
APA Wu, Changyi,Zhang, Ying,&Xu, Jianmin.(2014).A confounding coincidence: epidural anesthesia and paraplegia due to intramedullary tuberculoma in a patient who underwent cholecystectomy.BMC ANESTHESIOLOGY,14.
MLA Wu, Changyi,et al."A confounding coincidence: epidural anesthesia and paraplegia due to intramedullary tuberculoma in a patient who underwent cholecystectomy".BMC ANESTHESIOLOGY 14(2014).
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