经椎间孔腰椎椎间融合术中急性复发性心动过缓伴诱发电位丧失
Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion.
作者信息
Schwan C P, Pedersen M R, Tavanaiepour K, Tavanaiepour D, Hoefnagel A L, Mongan P D
机构信息
Department of Anesthesiology University of Florida College of Medicine - Jacksonville USA.
出版信息
Anaesth Rep. 2020 Jun 19;8(1):63-66. doi: 10.1002/anr3.12049. eCollection 2020 Jan-Jun.
Abstract
During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm.
摘要
在经椎间孔腰椎椎间融合术中，一名患者在对椎间隙进行操作时出现急性间歇性心动过缓，随后体感诱发电位消失且未恢复。术后评估发现新的双侧下肢感觉和运动功能障碍。我们推测存在传入反射弧来解释这一情况以及经椎间孔腰椎椎间融合术手术期间其他报告的心动过缓和心搏停止实例。认识到腰椎手术期间心动过缓之间的关联可能会提醒麻醉师、外科医生和神经监测团队注意即将发生的神经损伤。
相似文献
1
Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion.
Anaesth Rep. 2020 Jun 19;8(1):63-66. doi: 10.1002/anr3.12049. eCollection 2020 Jan-Jun.
2
Intraoperative decrease in amplitude of somatosensory-evoked potentials of the lower extremities with interbody fusion cage placement during lumbar fusion surgery.
Spine (Phila Pa 1976). 2012 Sep 15;37(20):E1290-5. doi: 10.1097/BRS.0b013e31825e6ad6.
3
The Efficacy of Intraoperative Neurophysiological Monitoring to Detect Postoperative Neurological Deficits in Transforaminal Lumbar Interbody Fusion Surgery.
Oper Neurosurg (Hagerstown). 2019 Jan 1;16(1):71-78. doi: 10.1093/ons/opy061.
4
Intraoperative neurophysiological monitoring in anterior lumbar interbody fusion surgery.
J Clin Neurophysiol. 2014 Aug;31(4):352-5. doi: 10.1097/WNP.0000000000000073.
5
Comparison of complication rates of minimally invasive transforaminal lumbar interbody fusion and lateral lumbar interbody fusion: a systematic review of the literature.
Neurosurg Focus. 2015 Oct;39(4):E4. doi: 10.3171/2015.7.FOCUS15278.
6
Use of motor evoked potentials during lateral lumbar interbody fusion reduces postoperative deficits.
Spine J. 2018 Oct;18(10):1763-1778. doi: 10.1016/j.spinee.2018.02.024. Epub 2018 Apr 3.
7
Upper-limb somatosensory evoked potential monitoring in lumbosacral spine surgery: a prognostic marker for position-related ulnar nerve injury.
Spine J. 2009 Apr;9(4):287-95. doi: 10.1016/j.spinee.2008.05.004. Epub 2008 Aug 5.
8
Somatosensory evoked potential monitoring of lumbar pedicle screw placement for in situ posterior spinal fusion.
Spine J. 2003 Sep-Oct;3(5):370-6. doi: 10.1016/s1529-9430(03)00144-x.
9
A comparison of the bilateral decompression via unilateral approach versus conventional approach transforaminal lumbar interbody fusion for the treatment of lumbar degenerative disc disease in the elderly.
BMC Musculoskelet Disord. 2021 Feb 8;22(1):156. doi: 10.1186/s12891-021-04026-w.
10
Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine.
Spine (Phila Pa 1976). 2004 Feb 15;29(4):E65-70. doi: 10.1097/01.brs.0000113034.74567.86.
引用本文的文献
1
Application of Intraoperative Electromyography Intelligent Monitoring in Orthopedic Surgery under General Anesthesia.
Contrast Media Mol Imaging. 2023 Feb 20;2023:1484802. doi: 10.1155/2023/1484802. eCollection 2023.
2
A Loading Dose of Dexmedetomidine With Constant Infusion Inhibits Intraoperative Neuromonitoring During Thoracic Spinal Decompression Surgery: A Randomized Prospective Study.
Front Pharmacol. 2022 Mar 7;13:840320. doi: 10.3389/fphar.2022.840320. eCollection 2022.
本文引用的文献
1
Visceral Pain.
Annu Rev Physiol. 2019 Feb 10;81:261-284. doi: 10.1146/annurev-physiol-020518-114525. Epub 2018 Oct 31.
2
Medical Error Avoidance in Intraoperative Neurophysiological Monitoring: The Communication Imperative.
J Clin Neurophysiol. 2017 Nov;34(6):477-483. doi: 10.1097/WNP.0000000000000419.
3
The negative chronotropic effect during lumbar spine surgery: A systemic review and aggregation of an emerging model of spinal cardiac reflex.
Medicine (Baltimore). 2017 Jan;96(1):e5436. doi: 10.1097/MD.0000000000005436.
4
Best Practices in Intraoperative Neuromonitoring in Spine Deformity Surgery: Development of an Intraoperative Checklist to Optimize Response.
Spine Deform. 2014 Sep;2(5):333-339. doi: 10.1016/j.jspd.2014.05.003. Epub 2014 Aug 27.
5
Dural Traction a Possible Cause of Hemodynamic Changes During Single-Level Transforaminal Lumbar Interbody Fusion.
World Neurosurg. 2017 Jan;97:761.e1-761.e3. doi: 10.1016/j.wneu.2016.09.102. Epub 2016 Oct 7.
6
Brain and gut interactions in irritable bowel syndrome: new paradigms and new understandings.
Curr Gastroenterol Rep. 2014 Apr;16(4):379. doi: 10.1007/s11894-014-0379-z.
7
Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches.
Curr Rev Musculoskelet Med. 2009 Jun;2(2):118-26. doi: 10.1007/s12178-009-9053-8. Epub 2009 Apr 29.
8
More on lumbo-sacral spine surgery and bradycardia.
Can J Anaesth. 2004 Nov;51(9):942-3. doi: 10.1007/BF03018898.
9
Lumbo-sacral spine surgery and severe bradycardia.
Can J Anaesth. 2004 Mar;51(3):277. doi: 10.1007/BF03019113.
Zotero 插件