Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation-Reference-Cited by-同舟云学术

Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation

Published:2020-05-01 Issue:5 Volume:2020 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Rasouli Bobak¹,Pederson Kristine²,Wilkinson Marshall F³,Zarrabian Mohammad³

Affiliation:

1. School of Medicine, St. George’s University of London, Nicosia, Cyprus

2. Section of Neurosurgery, University of Manitoba, Winnipeg, Canada

3. Division of Orthopaedic Surgery, University of Manitoba, Winnipeg, Canada

Abstract

Abstract Intraoperative neurophysiologic monitoring is a technique utilized during spinal operations to minimize sensory and motor function morbidity. We herein report a case of a 73-year-old female with renal cell carcinoma and metastatic involvement of the cervical and thoracic spine, who underwent a multilevel complex anterior and posterior operation. Neurophysiological monitoring was able to localize the lower limb ischemia utilizing somatosensory evoked potentials. This prompted intraoperative investigation of the peripheral ischemia, and the patient was found to have an Angio-Seal device embolus in the right popliteal artery that dislodged from the right femoral artery.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/jscr/article-pdf/2020/5/rjaa049/33218749/rjaa049.pdf

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