Washington State University, Elson S. Floyd College of Medicine, Spokane, Washington.
Alpine Orthopaedic and Spine, P.C., Spokane, Washington.
JBJS Case Connect. 2022 May 4;12(2). doi: e21.00700. eCollection 2022 Apr 1.
A 71-year-old woman with a 2-year history of spondylosis and radiculopathy presented with progressively worsening cervical spine pain and neurological dysfunction for 2 years. The patient developed posterior reversible encephalopathy syndrome (PRES) after postoperative hematoma in the retroesophageal and retropharyngeal areas. This occurred status post anterior cervical diskectomy and fusion (ACDF) of C4-C6. One year postoperatively, the patient recovered with full ambulation, neurological improvement, and resolution of all PRES signs and symptoms.
We present a case of a previously undescribed outcome of PRES as a complication of ACDF likely related to postoperative hypertension and fragile blood vessels.
一名 71 岁女性，患有颈椎病和神经根病 2 年，表现为颈椎疼痛进行性加重和神经功能障碍 2 年。患者在食管后和咽后区域发生术后血肿后出现后部可逆性脑病综合征（PRES）。这发生在 C4-C6 的前路颈椎间盘切除术和融合术（ACDF）之后。术后 1 年，患者完全恢复行走能力，神经功能改善，PRES 的所有迹象和症状均得到缓解。
我们报告了一例以前未描述的 PRES 作为 ACDF 并发症的结果，可能与术后高血压和脆弱血管有关。
