Cargando…

Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note

BACKGROUND: Intracranial pressure (ICP) monitoring is not routinely used during complex spinal deformity correction surgery. The authors report a 66-year-old male who during thoracolumbar deformity surgery required the placement of an ICP monitor due to the underlying history of a superior vena cava...

Descripción completa

Detalles Bibliográficos
Autores principales: Ozpinar, Alp, Liu, Jesse J., Tempel, Zachary J., Choi, Phillip A., Hart, Robert A., Hamilton, D. Kojo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854031/
https://www.ncbi.nlm.nih.gov/pubmed/27168950
http://dx.doi.org/10.4103/2152-7806.180771
_version_ 1782430167393632256
author Ozpinar, Alp
Liu, Jesse J.
Tempel, Zachary J.
Choi, Phillip A.
Hart, Robert A.
Hamilton, D. Kojo
author_facet Ozpinar, Alp
Liu, Jesse J.
Tempel, Zachary J.
Choi, Phillip A.
Hart, Robert A.
Hamilton, D. Kojo
author_sort Ozpinar, Alp
collection PubMed
description BACKGROUND: Intracranial pressure (ICP) monitoring is not routinely used during complex spinal deformity correction surgery. The authors report a 66-year-old male who during thoracolumbar deformity surgery required the placement of an ICP monitor due to the underlying history of a superior vena cava syndrome (e.g., s/p right jugular stent). CASE DESCRIPTION: A 66-year-old male with multiple prior lumbar spinal procedures presented with lower back and bilateral lower extremity pain, paresthesias, and weakness. He had a history of chronic left internal jugular and brachiocephalic venous occlusion (e.g., he had a right internal jugular stent). During deformity surgery, a frontal intraparenchymal ICP monitor was placed. During the early portion of the operation, bed adjustments (increasing reverse trendelenburg position) were required to compensate for ICP elevations as high as 30 mm Hg. A subsequent inadvertent durotomy during decompression lowered the ICP to <5 mm Hg; no further ICP spikes occurred. His postoperative course was uneventful, and 14-month later, he was dramatically improved. CONCLUSION: ICP monitoring may be a useful adjunct for patient safety in selected patients who are at risk for developing intracranial hypertension during extensive spinal deformity surgery.
format Online
Article
Text
id pubmed-4854031
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-48540312016-05-10 Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note Ozpinar, Alp Liu, Jesse J. Tempel, Zachary J. Choi, Phillip A. Hart, Robert A. Hamilton, D. Kojo Surg Neurol Int Case Report BACKGROUND: Intracranial pressure (ICP) monitoring is not routinely used during complex spinal deformity correction surgery. The authors report a 66-year-old male who during thoracolumbar deformity surgery required the placement of an ICP monitor due to the underlying history of a superior vena cava syndrome (e.g., s/p right jugular stent). CASE DESCRIPTION: A 66-year-old male with multiple prior lumbar spinal procedures presented with lower back and bilateral lower extremity pain, paresthesias, and weakness. He had a history of chronic left internal jugular and brachiocephalic venous occlusion (e.g., he had a right internal jugular stent). During deformity surgery, a frontal intraparenchymal ICP monitor was placed. During the early portion of the operation, bed adjustments (increasing reverse trendelenburg position) were required to compensate for ICP elevations as high as 30 mm Hg. A subsequent inadvertent durotomy during decompression lowered the ICP to <5 mm Hg; no further ICP spikes occurred. His postoperative course was uneventful, and 14-month later, he was dramatically improved. CONCLUSION: ICP monitoring may be a useful adjunct for patient safety in selected patients who are at risk for developing intracranial hypertension during extensive spinal deformity surgery. Medknow Publications & Media Pvt Ltd 2016-04-20 /pmc/articles/PMC4854031/ /pubmed/27168950 http://dx.doi.org/10.4103/2152-7806.180771 Text en Copyright: © 2016 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ozpinar, Alp
Liu, Jesse J.
Tempel, Zachary J.
Choi, Phillip A.
Hart, Robert A.
Hamilton, D. Kojo
Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title_full Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title_fullStr Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title_full_unstemmed Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title_short Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note
title_sort intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: a technical note
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854031/
https://www.ncbi.nlm.nih.gov/pubmed/27168950
http://dx.doi.org/10.4103/2152-7806.180771
work_keys_str_mv AT ozpinaralp intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote
AT liujessej intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote
AT tempelzacharyj intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote
AT choiphillipa intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote
AT hartroberta intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote
AT hamiltondkojo intracranialpressuremonitoringduringadultspinaldeformitycorrectioninapatientwithcriticalvenousocclusivediseaseandsuperiorvenacavasyndromeatechnicalnote