무증상 경추 척추증 환자에서 이하선 절제술 후 발생한 사지마비 1예
A Case of Quadriplegia after Parotidectomy in a Patient with Asymptomatic Cervical Spondylosis
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Cervical spondylosis is a common degenerative disease of the cervical spine affecting the cervicalvertebral bodies and intervertebral discs. During parotidectomy, the patient is placed ina supine position with the neck extended and head rotated to the contralateral side. This positioncould exacerbate pre-existing cervical spondylosis and cause cervical myelopathy. Wepresent a case of postoperative quadriplegia secondary to cervical myelopathy after parotidectomy. A 68-year-old man without symptoms of cervical spondylosis underwent partial parotidectomyfor a right parotid mass and subsequently developed quadriplegia 8 hours postoperatively. Magnetic resonance imaging revealed severe cervical myelopathy. Emergency laminoplastywas performed, and steroid therapy was initiated. He showed near-complete recovery sixmonths later.
Abstract
Cervical spondylosis is a common degenerative disease of the cervical spine affecting the cervicalvertebral bodies and intervertebral discs. During parotidectomy, the patient is placed ina supine position with the neck extended and head rotated to the contralateral side. This positioncould exacerbate pre-existing cervical spondylosis and cause cervical myelopathy. Wepresent a case of postoperative quadriplegia secondary to cervical myelopathy after parotidectomy. A 68-year-old man without symptoms of cervical spondylosis underwent partial parotidectomyfor a right parotid mass and subsequently developed quadriplegia 8 hours postoperatively. Magnetic resonance imaging revealed severe cervical myelopathy. Emergency laminoplastywas performed, and steroid therapy was initiated. He showed near-complete recovery sixmonths later.
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