Spinal Cord Infarction following Abdominal Surgery and Postoperative Epidural Analgaesia

Abdullah Al-Asmi, Rosanna John, Ramachandiran Nandhagopal, Povathoor C Jacob, Karin Nollain, Rajeev Jain

Abstract


schemic infarction is a rare cause of acute myelopathy. We report the case of a young woman admitted to Sultan Qaboos University Hospital, Oman, who developed extensive spinal cord infarction in the setting of surgical evacuation and packing of liver haematoma and post-operative epidural analgesia. She had no vascular risk factors for stroke. The vascular mechanism underlying ischemic myelopathy and the relationship to abdominal surgery and epidural analgesia are discussed.



Keywords


Myelopathy; Spinal cord infarction; Abdominal surgery; Epidural analgesia; Magnetic resonance imaging; Liver hematoma; Liver packing; Radiculomedullary artery; Case report; Oman

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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