Tétraplégie au décours d’un coma par intoxication médicamenteuse
| Autor: | J.L Pourriat, F Morazin, S Pham-Tourreau, Rémy Gauzit, A Teboul |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Coma
medicine.medical_specialty business.industry General Medicine Neurological disorder medicine.disease Intensive care unit law.invention Surgery Central nervous system disease Anesthesiology and Pain Medicine Peripheral neuropathy law Anesthesia medicine medicine.symptom business Complication Tetraplegia Depression (differential diagnoses) |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 20:727-731 |
| ISSN: | 0750-7658 |
| DOI: | 10.1016/s0750-7658(01)00470-1 |
| Popis: | It is reported a case of quadriplegia occurring in a 67-year-old women after she commits suicide with flunitrazepam. The patient stayed during around twenty hours unconscious, in the sitting position, with an extreme flexion of the neck on the left side. After injection of flumazenil the patient's consciousness was restored. Nevertheless a complete sensitive and motor deficit at the C4 and C5 level was then observed. Several diagnosis such as peripheral neuropathy, infectious disease, or arterial occlusion were eliminated and we finally postulated that the regulation of the spinal blood flow had likely been disturbed by the prolonged flexion of the neck, the hypotension and the putative respiratory depression. The fact that the patient suffered from cervicarthrosis would have already impaired the spinal blood flow regulation and consequently had probably damaged the spinal cord. No clinical improvement of the quadriplegia was noticed and the patient died in the intensive care unit thirteen days after admission. Such an exceptional complication after a toxic coma remind us the necessity to avoid long lasting vicious position of the cervical spine in anaesthesia and emergency practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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