Abstract |
Acute neurologic deterioration is not a rare event in the surgical decompression for thoracic spinal stenosis. We report a case of transient paraparesis after decompressive laminectomy in a 50-yr-old male patient with multi-level thoracic ossification of the ligamentum flavum and cervical ossification of the posterior longitudinal ligament. Decompressive laminectomy from T9 to T11 was performed without gross neurological improvement. Two weeks after the first operation, laminoplasty from C4 to C6 and additional decompressive laminectomies of T3, T4, T6, and T8 were performed. Paraparesis developed 3 hr after the second operation, which recovered spontaneously 5 hr thereafter. CT and MRI were immediately performed, but there were no corresponding lesions. Vascular compromise of the borderlines of the arterial supply by microthrombi might be responsible for the paraparesis.
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Authors | Kyeong-Seok Lee, Jae-Jun Shim, Jae-Won Doh, Seok-Mann Yoon, Hack-Gun Bae, Il-Gyu Yun |
Journal | Journal of Korean medical science
(J Korean Med Sci)
Vol. 19
Issue 4
Pg. 624-6
(Aug 2004)
ISSN: 1011-8934 [Print] Korea (South) |
PMID | 15308861
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright The Korean Academy of Medical Sciences |
Topics |
- Cervical Vertebrae
(pathology, surgery)
- Decompression, Surgical
(adverse effects)
- Humans
- Laminectomy
(adverse effects)
- Ligamentum Flavum
(pathology, surgery)
- Longitudinal Ligaments
(pathology, surgery)
- Male
- Middle Aged
- Ossification, Heterotopic
- Paraparesis
(etiology)
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