A Lumbosacral Plexopathy after Venoarterial Extracorporeal Membrane Oxygenation Therapy – A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Recently, the use of extracorporeal membrane oxygenation (ECMO) therapy in Korea has been increasing. The common complications of ECMO are renal failure, significant infections, and bleeding events. However, neurological complications in the lower extremity caused by ECMO therapy are rare. We report an unusual case of a 33-year-old man who developed monoplegia with right lumbosacral plexopathy after venoarterial-ECMO (VA-ECMO) therapy. He had undergone VA-ECMO therapy for 11 days because of alveolar hemorrhage and acute respiratory distress syndrome caused by ventilator-associated pneumonia. He presented with motor weakness, paresthesia, and swelling of the right lower extremity about 3 days after VA-ECMO disconnection. Electrodiagnostic study showed right lumbosacral plexopathy and peripheral polyneuropathy. Therefore, the possibility of peripheral neurological complications, such as lumbosacral plexopathy, after VA-ECMO therapy should be considered.
Abstract
Recently, the use of extracorporeal membrane oxygenation (ECMO) therapy in Korea has been increasing. The common complications of ECMO are renal failure, significant infections, and bleeding events. However, neurological complications in the lower extremity caused by ECMO therapy are rare. We report an unusual case of a 33-year-old man who developed monoplegia with right lumbosacral plexopathy after venoarterial-ECMO (VA-ECMO) therapy. He had undergone VA-ECMO therapy for 11 days because of alveolar hemorrhage and acute respiratory distress syndrome caused by ventilator-associated pneumonia. He presented with motor weakness, paresthesia, and swelling of the right lower extremity about 3 days after VA-ECMO disconnection. Electrodiagnostic study showed right lumbosacral plexopathy and peripheral polyneuropathy. Therefore, the possibility of peripheral neurological complications, such as lumbosacral plexopathy, after VA-ECMO therapy should be considered.
참고문헌 (9)
- 정재승, "Extracorporeal Membrane Oxygenation: 과거, 현재 그리고 미래", 대한내과학회지, 88(6), pp.651~657 (2015), 대한내과학회[DOI]
- Cheng R, "Complications of extracorporeal membrane oxygenation for treatment of cardiogenic shock and cardiac arrest: a meta-analysis of 1,866 adult patients", Ann Thorac Surg, 97, pp.610~616 (2014)
- Xie A, "Venoarterial extracorporeal membrane oxygenation for cardiogenic shock and cardiac arrest: a meta-analysis", J Cardiothorac Vasc Anesth, 29, pp.637~645 (2015)
- Wall C, "Extracorporeal membrane oxygenation: an unusual cause of acute limb compartment syndrome", Anaesth Intensive Care, 38, pp.560~563 (2010)
- Strakowski JA, "Electrodiagnosis of plexopathy", PM R, 5, pp.S50~S55 (2013)
- Craig A, "Entrapment neuropathies of the lower extremity", PM R, 5, pp.S31~S40 (2013)
- Planner A, "Causes of lumbosacral plexopathy", Clin Radiol, 61, pp.987~995 (2006)
- 고진영, "Delayed Onset of Acute Limb Compartment Syndrome With Neuropathy After Venoarterial Extracorporeal Membrane Oxygenation Therapy", Annals of Rehabilitation Medicine, 38(4), pp.575~580 (2014), 대한재활의학회
- Bucher Praz C, "Guillain-Barré syndrome associated with primary parvovirus B19 infection in an HIV-1-infected patient", Case Rep Med, 2012, pp.140780~ (2012)