spine-addiction-2018-posters-abstracts

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Journal of Neurology and Neurorehabilitation Research | Volume 3

November 26-27, 2018 | Dubai, UAE

Spine and Spine Disorders

Addiction Research and Therapy

3rd International Conference on

International Conference on

Joint Event

Case report: Quadriplegia after Cervical Discectomy and Fusion Surgery

Siavash S Haghighi, Donald P Blaskiewicz, Bertha Ramirez

and

Richard Zhang

Sharp Memorial Hospital, USA

pinal cord infarction after anterior or posterior Cervical Cord

Decompressive Surgery is uncommon. The existing literature

generally points at ischemic events including intraoperative or

post-operative hypotension, low blood perfusion, or decreased

venous return. We report a single case of postoperative

weakness which was followed by an incomplete quadriplegia

in a patient after 3 level anterior cervical discectomy and fusion.

The intraoperative somatosensory (SSEPs) and motor evoked

potentials (TcMEPs) recordings were normal throughout the

surgery. Upon termination of the procedure and in the recovery

room patient followed commands and was freely able to move

all extremities. The weakness in the upper and lower limbs

ensued within 20 minutes after which progressively turned into

a severeweakness of upper limbs and completemotor paralysis

in the lower limbs. The emergency MRI scan was not diagnostic

at that point, but the follow-up MRI scan a day after surgery

demonstrated a multi-level spinal cord edema and infraction.

Spinal cord ischemia should be managed aggressively to

improve spinal cord perfusion. The end prognosis depends on

the severity of insult to neuronal tissue.

Figure: Cortical Somatosensory (SSEPs) and Transcranial Motor Evoked Potentials (TcMEPs)

recordings in this patient at the baseline (pre-incision). The SSEPs were recorded after

the median and posterior tibial nerve stimulations on the right (right column) and left

(left column) sides. The TcMEPs were recorded from the left (left column) and right

(right column) abductor policies (AP), adductor halluces (AH) and deltoid (DL) muscles.