Abstract:
OBJECTIVE AND IMPORTANCE:Spinal cord injury is one of several devastating complications after operation in the sitting position. Young patients exhibiting extraordinary growth spurts demonstrate a higher risk for this complication. CLINICAL PRESENTATION:We describe a 7-year-old male patient with a pineal region choriocarcinoma in whom a cervical spinal cord infarction (C5-T1) developed as an acute complication after operation in the sitting position. Preoperatively, high serum levels of human chorionic gonadotropin (5867.7 mIU/ml) and somatomedin-C (704 ng/ml) and an extreme growth velocity in height (16 cm/yr) were noted. CONCLUSION:It is assumed that, in addition to head flexion, the abnormal skeletal growth spurt resulting from an excessive secretion of human chorionic gonadotropin from a tumor was a possible predisposing factor for this complication. To prevent this complication, surgeons need to pay great attention to head positioning, especially in a young patient experiencing an active growth spurt.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Nitta H,Yamashita J,Nomura M,Igarashi Ndoi
10.1097/00006123-199705000-00039subject
Has Abstractpub_date
1997-05-01 00:00:00pages
1082-5; discussion 1085-6issue
5eissn
0148-396Xissn
1524-4040journal_volume
40pub_type
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