An unusual case of flexion injury of the cervical spine

Lévy, L.

doi:10.1016/0090-3019(82)90116-1

Cited by 19 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Scattered case reports of CFM have been published in the setting of neck flexion during surgery, valproic acid overdose, and prolonged assault (1)(2)(3)(4). To our knowledge, CFM and TFM have not been reported in the same patient after drug overdose.…”

Section: Introductionmentioning

confidence: 68%

Window of Opportunity: Flexion Myelopathy After Drug Overdose

Nielsen

Damek

2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 68%

Window of Opportunity: Flexion Myelopathy After Drug Overdose

Nielsen

Damek

2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…Although some mechanisms for this complication have been proposed, 5,8,9,12 the pathogenesis remains uncertain. The causes for flexion myelopathy vary widely and include such conditions as subluxation, excessive kyphosis, overstretching mechanism, and tight dural canal mechanism.…”

Section: Discussionmentioning

confidence: 97%

Quadriplegia in a patient who underwent posterior fossa surgery in the prone position

Rau¹,

Liang²,

Lui³

et al. 2002

Journal of Neurosurgery: Spine

View full text Add to dashboard Cite

✓ Quadriplegia is a well-known complication of posterior fossa surgery performed while the patient is in the sitting position but is rarely associated with the prone position. A case of an 18-year-old man with a cerebellar medulloblastoma is described. There was no evidence of previous cervical disease. The patient suffered quadriplegia after undergoing surgery in the prone position. Postoperative magnetic resonance imaging demonstrated a long hyperintense C2—T1 lesion on T2-weighted sequences. The authors speculate that, during the prolonged period in which the neck was in hyperflexion, overstretching of the cervical spinal cord and compromise of its blood supply might have caused this devastating complication.

show abstract

“…4 A hypothesis is that the extreme neck flexion that is sometimes used in this position may result in compression or stretching of the cervical spinal cord. 5,6 Not all new-onset neurologic deficits after general anesthesia are permanent. Transient deficits not associated with a surgical insult can be the result of "differential awakening," most commonly seen in patients with a history of cerebral ischemia or a mass lesion.…”

Section: Discussionmentioning

confidence: 99%

New-Onset Neurologic Deficits After General Anesthesia for MRI

Weglinski

Berge

Davis

2002

Mayo Clinic Proceedings

View full text Add to dashboard Cite

Two patients with spine disease were unable to tolerate supine placement for magnetic resonance imaging (MRI) because of severe back pain. General anesthesia was administered to enable the patients to undergo MRI. Both patients awakened from anesthesia with new-onset paraplegia and underwent emergency decompressive laminectomy. Acute paraplegia after anesthesia occurs infrequently and is most commonly associated with mechanical injury, vascular compromise, or anesthetic technique. The physical limitations of the MRI environment make it difficult to position some patients in a manner that accommodates their pathophysiology and may place certain patients at risk of neurologic compromise. For this subset of patients, the necessity of MRI with general anesthesia should be reassessed and alternative imaging methods considered.

show abstract

An unusual case of flexion injury of the cervical spine

Cited by 19 publications

References 16 publications

Window of Opportunity: Flexion Myelopathy After Drug Overdose

Window of Opportunity: Flexion Myelopathy After Drug Overdose

Quadriplegia in a patient who underwent posterior fossa surgery in the prone position

New-Onset Neurologic Deficits After General Anesthesia for MRI

Contact Info

Product

Resources

About