acute paraplegia after general anesthesia

Acute Paraplegia after General Anesthesia

Siamak Afshinmajd, Alireza Khalaj, Younes Roohani, Mohammadebrahim Yarmohammadi, Shadi Salehpour, Alireza Saeedi, Gholam Hossein Ghaedi, and Mehran Heydari Seradj Mostafa Khomeini Hospital, School of Medicine, Shahed University of Medical Sciences, Tehran, Iran Department of Physiotherapy, Mostafa Khomeini Hospital, Shahed University of Medical Sciences, Tehran, Iran
Received: 17 Feb. 2009; Received in revised form: 15 Oct. 2010; Accepted: 7 Nov. 2010
Abstract- Acute paraplegia is a rare but catastrophic complication of surgeries performed on aorta and corrective operations of vertebral column. Trauma to spinal cord after spinal anesthesia and ischemia of spinal cord also may lead to acute paraplegia. Acute paraplegia as a complication of general anesthesia in surgeries performed on sites other than aorta and vertebral column is very rare. Here we present a 56 year old woman with acute paraplegia due to spinal cord infarction after laparoscopic cholecystectomy under general anesthesia probably caused by atherosclerosis of feeding spinal arteries and ischemia of spinal cord after reduction of blood flow possibly due to hypotension during general anesthesia. © ۲۰۱۱ Tehran University of Medical Sciences. All rights reserved. Acta Medica Iranica 2011; 49 (8): 560-564. Keywords: Laparoscopic cholecystectomy; General anesthesia complications; Acute paraplegia

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