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术中神经生理监测发现的短暂性截瘫:是由硬膜外麻醉还是硬膜外血肿引起的?

Transient paraplegia revealed by intraoperative neurophysiological monitoring: was it caused by the epidural anesthetic or an epidural hematoma?

作者信息

Rodi Zoran, Štraus Ivan, Denić Kata, Deletis Vedran, Vodušek David B

机构信息

*Institute of Clinical Neurophysiology, Division of Neurology; Departments of †Traumatology and ‡Anesthesiology, Division of Surgery, University Medical Center, Ljubljana, Slovenia; and §Institute for Neurology and Neurosurgery, Beth Israel Medical Center-Singer Division, New York, New York.

出版信息

Anesth Analg. 2003 Jun;96(6):1785-1788. doi: 10.1213/01.ANE.0000062525.95819.14.

Abstract

Our case report describes the electrophysiological features associated with the development of a spinal epidural hematoma during surgery of the lumbar spine. It stresses the importance of the evaluation of nonsurgical factors, which can potentially affect intraoperative evoked potentials; in this case, epidural local anesthetic or epidural hematoma.

摘要

我们的病例报告描述了腰椎手术期间与脊髓硬膜外血肿形成相关的电生理特征。它强调了评估非手术因素的重要性,这些因素可能会潜在影响术中诱发电位;在本病例中,是硬膜外局部麻醉或硬膜外血肿。

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