Cervical spinal cord infarction after surgery for a pineal region choriocarcinoma in the sitting position: case report.

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

Neurosurgery

journal_title

Neurosurgery

authors

Nitta H,Yamashita J,Nomura M,Igarashi N

doi

10.1097/00006123-199705000-00039

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

1082-5; discussion 1085-6

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

40

pub_type

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