Acta clinica Croatica, Vol. 53. No. 1., 2014.
Ostalo
Anesthetic Management of Acute Cervical Spinal Cord Injury in Pregnancy
Senka Baranović
Branka Maldini
Tomislav Čengić
Robert Kolundžić
Sažetak
The incidence of traumatic spinal cord injury is 11,000 per year, with 55% of the injuries occurring between the age of 16 and 33, 18% of these in women of reproductive age. Diagnostic and early spinal decompression along with maintaining the mean arterial pressure to improve spinal cord perfusion and a high progesterone level in pregnancy for its neuroprotective and anti-inflammatory effect have the leading role in neurological recovery and clinical outcome.
We present a case of a patient in the 17th week of pregnancy who sustained luxation fracture of the C5 and C6 vertebrae and tetraplegia as passenger in a road accident. The early operative treatment and appropriate anesthetic procedure resulted in good clinical outcome with complete neurological recovery.
Ključne riječi
Spinal cord injuries; Pregnancy; Acute disease; Arterial pressure; Decompression, surgical
Hrčak ID:
126156
URI
Datum izdavanja:
1.3.2014.
Posjeta: 1.615 *