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  4. Iatrogenic post‑surgical tension pneumosyrinx—a first reported case

Iatrogenic post‑surgical tension pneumosyrinx—a first reported case

Acta Neurochirurgica, 2022 · DOI: https://doi.org/10.1007/s00701-022-05286-8 · Published: June 27, 2022

Spinal Cord InjurySurgeryResearch Methodology & Design

Simple Explanation

This case report describes a rare complication following spinal tumor surgery, where air gets trapped within the spinal cord, causing neurological issues. The patient experienced sudden paralysis due to a 'tension pneumosyrinx,' which means trapped air was compressing the spinal cord. Surgical decompression was required to release the trapped air and relieve pressure on the spinal cord, leading to gradual neurological recovery.

Study Duration
Not specified
Participants
A 40-year-old male
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    This is the first reported case of post-operative tension pneumosyrinx following resection of an intradural intramedullary spinal tumor.
  • 2
    The patient developed a tension pneumosyrinx post-operatively, leading to sudden onset paraplegia.
  • 3
    Surgical decompression of the pneumosyrinx resulted in a gradual neurological recovery for the patient.

Research Summary

The authors describe the first ever-reported occurrence of a post-operative tension pneumosyrinx occurring after a resection of an intradural intramedullary spinal tumour in a 40-year-old patient. Post-operatively, he developed sudden onset paraplegia and imaging revealed a tension pneumosyrinx which was subsequently surgically decompressed. This is an extremely rare complication with potentially long-lasting deleterious effects on patients’ neurological status if not recognized.

Practical Implications

Increased Awareness

Highlights the need for neurosurgeons to be aware of this rare complication following spinal surgery.

Surgical Management

Provides insights into the surgical approach and management of tension pneumosyrinx.

Differential Diagnosis

Suggests considering pneumosyrinx in the differential diagnosis of post-operative neurological deficits.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Uncertainty regarding the exact mechanism of pneumosyrinx development.
  • 3
    Lack of comparative data for alternative management strategies.

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