A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation
We report a case of cardiac arrest, which occurred during C1 laminectomy for irreducible atlantoaxial subluxation, with return of spontaneous circulation (ROSC) upon interruption of the laminectomy. A 60-year-old woman with rheumatoid arthritis presented with neck pain, bilateral finger numbness, an...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6691426 |
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| author | Yosuke Shibao Masao Koda Keita Nakayama Tomoyuki Asada Kosuke Sato Mamoru Kono Fumihiko Eto Kentaro Mataki Hiroshi Kumagai Katsuya Nagashima Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Tetsuya Abe Masashi Yamazaki |
| author_facet | Yosuke Shibao Masao Koda Keita Nakayama Tomoyuki Asada Kosuke Sato Mamoru Kono Fumihiko Eto Kentaro Mataki Hiroshi Kumagai Katsuya Nagashima Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Tetsuya Abe Masashi Yamazaki |
| author_sort | Yosuke Shibao |
| collection | DOAJ |
| description | We report a case of cardiac arrest, which occurred during C1 laminectomy for irreducible atlantoaxial subluxation, with return of spontaneous circulation (ROSC) upon interruption of the laminectomy. A 60-year-old woman with rheumatoid arthritis presented with neck pain, bilateral finger numbness, and bladder-rectal disturbance. Simple radiograph images showed that the atlantodental interval (ADI) was enlarged to 8 mm, and magnetic resonance imaging revealed severe spinal stenosis at C1. She was diagnosed with cervical spondylotic myelopathy due to atlantoaxial subluxation. Cardiac arrest occurred twice during the C1 laminectomy and occipito-cervical fusion (Occ-C3), and ROSC occurred without any treatment. There was no postoperative worsening of neurological symptoms, and the improvement of sensory and motor palsy was favorable. The pathogenic mechanism was presumed to be trigeminocardiac reflex. Cardiac arrest during upper cervical spine surgery is an important intraoperative complication of which operators should be made aware. |
| format | Article |
| id | doaj-art-dc71f2f1a76a4ddb85692999e0fcd9be |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-dc71f2f1a76a4ddb85692999e0fcd9be2025-02-03T00:58:49ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66914266691426A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial SubluxationYosuke Shibao0Masao Koda1Keita Nakayama2Tomoyuki Asada3Kosuke Sato4Mamoru Kono5Fumihiko Eto6Kentaro Mataki7Hiroshi Kumagai8Katsuya Nagashima9Kousei Miura10Hiroshi Noguchi11Hiroshi Takahashi12Toru Funayama13Tetsuya Abe14Masashi Yamazaki15Department of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, JapanWe report a case of cardiac arrest, which occurred during C1 laminectomy for irreducible atlantoaxial subluxation, with return of spontaneous circulation (ROSC) upon interruption of the laminectomy. A 60-year-old woman with rheumatoid arthritis presented with neck pain, bilateral finger numbness, and bladder-rectal disturbance. Simple radiograph images showed that the atlantodental interval (ADI) was enlarged to 8 mm, and magnetic resonance imaging revealed severe spinal stenosis at C1. She was diagnosed with cervical spondylotic myelopathy due to atlantoaxial subluxation. Cardiac arrest occurred twice during the C1 laminectomy and occipito-cervical fusion (Occ-C3), and ROSC occurred without any treatment. There was no postoperative worsening of neurological symptoms, and the improvement of sensory and motor palsy was favorable. The pathogenic mechanism was presumed to be trigeminocardiac reflex. Cardiac arrest during upper cervical spine surgery is an important intraoperative complication of which operators should be made aware.http://dx.doi.org/10.1155/2021/6691426 |
| spellingShingle | Yosuke Shibao Masao Koda Keita Nakayama Tomoyuki Asada Kosuke Sato Mamoru Kono Fumihiko Eto Kentaro Mataki Hiroshi Kumagai Katsuya Nagashima Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Tetsuya Abe Masashi Yamazaki A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation Case Reports in Orthopedics |
| title | A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation |
| title_full | A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation |
| title_fullStr | A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation |
| title_full_unstemmed | A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation |
| title_short | A Case of Cardiac Arrest during C1 Laminectomy for Irreducible Atlantoaxial Subluxation |
| title_sort | case of cardiac arrest during c1 laminectomy for irreducible atlantoaxial subluxation |
| url | http://dx.doi.org/10.1155/2021/6691426 |
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