Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report
Perioperative bilateral medial medullary infarction (BMMI) cases mimicking acute motor axonal neuropathy (AMAN) under general anesthesia have not been reported. We describe a patient who suffered flaccid quadriplegia and could not wean from mechanical ventilation after emergence from general anesthe...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
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Frontiers Media
2021
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| _version_ | 1826311536104177664 |
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| author | Xu, Y Li, K Yao, X Yang, Q Wang, P |
| author_facet | Xu, Y Li, K Yao, X Yang, Q Wang, P |
| author_sort | Xu, Y |
| collection | OXFORD |
| description | Perioperative bilateral medial medullary infarction (BMMI) cases mimicking acute motor axonal neuropathy (AMAN) under general anesthesia have not been reported. We describe a patient who suffered flaccid quadriplegia and could not wean from mechanical ventilation after emergence from general anesthesia in cardiac surgery. A diagnosis of AMAN was considered, but intravenous immunoglobulin showed little efficacy. Magnetic resonance imaging of the patient later revealed BMMI with “snake eyes appearance,” and he was found to have severe vertebral artery stenosis. Considering the association between severe coronary heart disease and cerebrovascular stenosis, we highlight the significance of preoperative evaluation and comprehensive management of the cerebrovascular system for certain patients. |
| first_indexed | 2024-03-07T08:09:47Z |
| format | Journal article |
| id | oxford-uuid:8a2ed6fb-8efd-4f20-b0fe-2de75226d7ed |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T08:09:47Z |
| publishDate | 2021 |
| publisher | Frontiers Media |
| record_format | dspace |
| spelling | oxford-uuid:8a2ed6fb-8efd-4f20-b0fe-2de75226d7ed2023-11-22T16:32:43ZPerioperative bilateral medial medullary infarction with “snake eyes appearance”: a case reportJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8a2ed6fb-8efd-4f20-b0fe-2de75226d7edEnglishSymplectic ElementsFrontiers Media2021Xu, YLi, KYao, XYang, QWang, PPerioperative bilateral medial medullary infarction (BMMI) cases mimicking acute motor axonal neuropathy (AMAN) under general anesthesia have not been reported. We describe a patient who suffered flaccid quadriplegia and could not wean from mechanical ventilation after emergence from general anesthesia in cardiac surgery. A diagnosis of AMAN was considered, but intravenous immunoglobulin showed little efficacy. Magnetic resonance imaging of the patient later revealed BMMI with “snake eyes appearance,” and he was found to have severe vertebral artery stenosis. Considering the association between severe coronary heart disease and cerebrovascular stenosis, we highlight the significance of preoperative evaluation and comprehensive management of the cerebrovascular system for certain patients. |
| spellingShingle | Xu, Y Li, K Yao, X Yang, Q Wang, P Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title | Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title_full | Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title_fullStr | Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title_full_unstemmed | Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title_short | Perioperative bilateral medial medullary infarction with “snake eyes appearance”: a case report |
| title_sort | perioperative bilateral medial medullary infarction with snake eyes appearance a case report |
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