Journal of Neurosurgery: Spine, Ahead of Print.
Vascular injury during lumbar spine surgery is a relatively rare complication but can have devastating outcomes. The injury may not be apparent during surgery and can present acutely or late in various manners, and some injuries can be asymptomatic. This report discusses the unusual case of a 35-year-old woman who underwent a right L4–5 microdiscectomy for disc herniation and 4 days postoperatively presented with a pulmonary embolus. A subsequent CT scan revealed a pseudoaneurysm and arteriovenous fistula of the right common iliac vein and artery, which gave rise to the embolus. The patient received a right iliac artery stent, and at 4 months after surgery she continues to be symptom free. This report describes the atypical presentation of vascular injury after lumbar microdiscectomy and stresses the importance of cautiously using the pituitary rongeur when removing deeper disc fragments.
from #MedicinebyAlexandrosSfakianakis via xlomafota13 on Inoreader http://ift.tt/1lhFE4y
via IFTTT
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
►
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
- ► Φεβρουαρίου (2693)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
▼
2015
(1500)
-
▼
Δεκεμβρίου
(1450)
-
▼
Δεκ 05
(46)
- Stroke prevention by direct revascularization for ...
- Growth hormone–secreting macroadenoma of the pitui...
- Metabolic approach for tumor delineation in glioma...
- Comparison of computer-assisted planning and manua...
- Effects of intracranial meningioma location, size,...
- Prospective, multidisciplinary recording of periop...
- Panventriculomegaly with a wide foramen of Magendi...
- Seizures in supratentorial meningioma: a systemati...
- Risk factors for worsened muscle strength after th...
- Phase-contrast magnetic resonance imaging reveals ...
- Tumors of the peripheral nervous system: analysis ...
- Hemodynamic and morphological characteristics of u...
- Editorial: Seizures with meningioma
- Letter to the Editor: Innovations in neurosurgery
- A biomechanical comparison of 3 different posterio...
- The unusual presentation of a vascular injury afte...
- Far caudally migrated extraforaminal lumbosacral d...
- Effects of fusion and conservative treatment on di...
- Editorial: Vascular injury during spinal procedures
- Therapiekonzepte der diffusen Peritonitis
- Peritonitis
- Long term results of postoperative Intensity-Modul...
- First evidence of the European wildcat ( Felis sil...
- Incidence of Ascaris suum -specific antibodies in ...
- A mucin-like peptide from Fasciola hepatica induce...
- Georgia Primary Care Providers’ Knowledge of Hered...
- Goodness and Desire
- Why do East Asian children perform so well in PISA...
- In the Long Cool Hour: "The Ethical Project" by Ph...
- Income Inequality, Intergenerational Mobility, and...
- Meaning, signification, and suggestion: Berkeley o...
- Microcarriers’ suspension and flow dynamics in orb...
- Political risk insurance and bilateral investment ...
- Centrifugal partition chromatography in a biorefin...
- Mapping pneumonia research: A systematic analysis ...
- Concurrent sexual partnerships among married Zimba...
- Studies of plug formation in microchannel liquid-l...
- A new small molecule inhibitor of soluble guanylat...
- Reconciling Magnetically Induced Vertigo and Nysta...
- The impact of threat of shock on the framing effec...
- Gastrointestinal stability of peptide drugs
- How beliefs about self-creation inflate value in t...
- Integrating Presentation Into Holistic Site Manage...
- An evaluation of the epidemiology of medication di...
- The evolution of chromatin folding in mammals: a r...
- Cutaneous Leishmaniasis - skin Barrier Properties ...
-
▼
Δεκ 05
(46)
-
▼
Δεκεμβρίου
(1450)
Ετικέτες
Σάββατο 5 Δεκεμβρίου 2015
The unusual presentation of a vascular injury after lumbar microdiscectomy: case report
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου