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Shawn J Bird - One of the best experts on this subject based on the ideXlab platform.

Christina Bergqvist - One of the best experts on this subject based on the ideXlab platform.

Nicholas Theodore - One of the best experts on this subject based on the ideXlab platform.

  • cervical Spinal Cord Infarction after cervical spine decompressive surgery
    World Neurosurgery, 2014
    Co-Authors: Samuel Kalb, Saeed Fakhran, Bruce L Dean, Jeffrey S Ross, Randall W Porter, Udaya K Kakarla, Paul Ruggieri, Nicholas Theodore
    Abstract:

    Objective To report five patients who underwent cervical decompressive surgeries and developed persistent postoperative neurologic deficits compatible with Spinal Cord Infarctions and evaluate causes for these rare complications. Methods The clinical courses and imaging studies of five patients were retrospectively analyzed. Imaging findings, types of surgeries, vascular compromise or risk factors, hypotensive episodes, intraoperative somatosensory evoked potentials, concomitant brain Infarctions, and clinical degree and radiographic extent of Spinal Cord Infarction were studied. The presence of Spinal Cord Infarction was determined by clinical course and imaging evaluation. Results All five patients had antecedent cervical Cord region vascular compromise or generalized vascular risk factors. Four patients developed hypotensive episodes, two intraoperatively and two postoperatively. None of the four patients with hypotensive episodes had imaging or clinical evidence of concomitant brain Infarctions. Conclusions Neuroimaging evaluation of Spinal Cord Infarction after decompressive surgery is done to exclude Spinal Cord compression, to ensure adequate surgical decompression, and to confirm Infarction by imaging. Antecedent, unrecognized preoperative vascular compromise may be a significant contributor to Spinal Cord Infarction by itself or in combination with hypotension.

  • Cervical Spinal Cord Infarction after cervical spine decompressive surgery.
    World neurosurgery, 2012
    Co-Authors: Samuel Kalb, Saeed Fakhran, Randall W Porter, Udaya K Kakarla, Paul Ruggieri, Bruce Dean, Jeffrey Ross, Nicholas Theodore
    Abstract:

    To report five patients who underwent cervical decompressive surgeries and developed persistent postoperative neurologic deficits compatible with Spinal Cord Infarctions and evaluate causes for these rare complications. The clinical courses and imaging studies of five patients were retrospectively analyzed. Imaging findings, types of surgeries, vascular compromise or risk factors, hypotensive episodes, intraoperative somatosensory evoked potentials, concomitant brain Infarctions, and clinical degree and radiographic extent of Spinal Cord Infarction were studied. The presence of Spinal Cord Infarction was determined by clinical course and imaging evaluation. All five patients had antecedent cervical Cord region vascular compromise or generalized vascular risk factors. Four patients developed hypotensive episodes, two intraoperatively and two postoperatively. None of the four patients with hypotensive episodes had imaging or clinical evidence of concomitant brain Infarctions. Neuroimaging evaluation of Spinal Cord Infarction after decompressive surgery is done to exclude Spinal Cord compression, to ensure adequate surgical decompression, and to confirm Infarction by imaging. Antecedent, unrecognized preoperative vascular compromise may be a significant contributor to Spinal Cord Infarction by itself or in combination with hypotension. Copyright © 2014 Elsevier Inc. All rights reserved.

P P Morris - One of the best experts on this subject based on the ideXlab platform.

Tobias Neumannhaefelin - One of the best experts on this subject based on the ideXlab platform.