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

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 multi...

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Autores principales: Rasouli, Bobak, Pederson, Kristine, Wilkinson, Marshall F, Zarrabian, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232934/
https://www.ncbi.nlm.nih.gov/pubmed/32440330
http://dx.doi.org/10.1093/jscr/rjaa049
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author Rasouli, Bobak
Pederson, Kristine
Wilkinson, Marshall F
Zarrabian, Mohammad
author_facet Rasouli, Bobak
Pederson, Kristine
Wilkinson, Marshall F
Zarrabian, Mohammad
author_sort Rasouli, Bobak
collection PubMed
description 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.
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spelling pubmed-72329342020-05-21 Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation Rasouli, Bobak Pederson, Kristine Wilkinson, Marshall F Zarrabian, Mohammad J Surg Case Rep Case Report 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. Oxford University Press 2020-05-18 /pmc/articles/PMC7232934/ /pubmed/32440330 http://dx.doi.org/10.1093/jscr/rjaa049 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Rasouli, Bobak
Pederson, Kristine
Wilkinson, Marshall F
Zarrabian, Mohammad
Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title_full Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title_fullStr Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title_full_unstemmed Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title_short Peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
title_sort peripheral leg ischemia detected via intraoperative neurophysiological monitoring during a multilevel complex anterior and posterior operation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232934/
https://www.ncbi.nlm.nih.gov/pubmed/32440330
http://dx.doi.org/10.1093/jscr/rjaa049
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