Midcervical Flexion Myelopathy after Posterior Fossa Surgery in the Sitting Position: Case Report
- 1 April 1996
- journal article
- Published by Wolters Kluwer Health in Neurosurgery
- Vol. 38 (4) , 819-822
- https://doi.org/10.1227/00006123-199604000-00037
Abstract
MIDCERVICAL QUADRIPLEGIA IS a well-known complication of posterior fossa surgery performed with the patient in the sitting position. The case of a 24-year-old man with a fourth ventricular choroid plexus papilloma is described. The patient developed reversible quadriparesis after surgery in the sitting position; postoperative magnetic resonance imaging demonstrated a hyperintense area within the cervical cord at C5-C6 on T2- weighted images, which was considered to represent “midcervical flexion myelopathy.” It is suggested that the prolonged stretch and compression of the cervical cord is the pathogenesis of this serious complication.Keywords
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