Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation.
AngioSeal device
intraoperative complication
neurophysiologic monitoring
peripheral limb ischemia
somatosensory evoked potentials
spine surgery
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
08
02
2020
accepted:
26
02
2020
entrez:
23
5
2020
pubmed:
23
5
2020
medline:
23
5
2020
Statut:
epublish
Résumé
Intraoperative neurophysiologic monitoring is a technique utilized during spinal operations to minimize sensory and motor function morbidity. We herein report a case of a 73-year-old female with renal cell carcinoma and metastatic involvement of the cervical and thoracic spine, who underwent a multilevel complex anterior and posterior operation. Neurophysiological monitoring was able to localize the lower limb ischemia utilizing somatosensory evoked potentials. This prompted intraoperative investigation of the peripheral ischemia, and the patient was found to have an Angio-Seal device embolus in the right popliteal artery that dislodged from the right femoral artery.
Identifiants
pubmed: 32440330
doi: 10.1093/jscr/rjaa049
pii: rjaa049
pmc: PMC7232934
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjaa049Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.
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