Lateral medullary syndrome after prone position for general surgery

Anesth Analg. 2002 Nov;95(5):1451-3, table of contents. doi: 10.1097/00000539-200211000-00065.

Abstract

We describe postoperative lateral medullary syndrome with myoclonic spasm. Improper head rotation during positioning in the anesthetized patient might obstruct the flow of the vertebral artery at the neck and result in diminished perfusion of the associated regions in patients with a history of cervical spinal trauma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Diseases / etiology*
  • Brain Diseases / pathology
  • Cerebral Arteries / pathology
  • Functional Laterality / physiology
  • GABA Modulators / therapeutic use
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Medulla Oblongata*
  • Midazolam / therapeutic use
  • Myoclonus / etiology
  • Oxygen Inhalation Therapy
  • Postoperative Complications / pathology
  • Postoperative Complications / physiopathology*
  • Prone Position / physiology*
  • Surgical Procedures, Operative / adverse effects*

Substances

  • GABA Modulators
  • Midazolam