Spinal cord vascular injuries following surgery of advanced thoracic neuroblastoma: An unusual catastrophic complication

Camillo Boglino, Antonio Gentil Martins, Guido Ciprandi, Màrio Sousinha, Alessandro Inserra

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Spinal cord injury is a possible complication associated with removal of thoracic dumbbell neuroblastomas. Our experience with two children whose postsurgical course was complicated by midthoracic spinal cord ischemia is reported there. Permanent paraplegia resulted in both. Procedure and Results. Preoperative awareness of the origin and distribution of the Adamkiewicz artery (arteria radiculomedullaris magna, ARMM) and of the possible collateral pathways for spinal cord blood supply may be helpful in the planning of operations that involve dissection in the midthoracic posterior mediastinum. Otherwise, a flaccid paraplegia may result. Conclusions. The syndrome is presumed to be triggered by a spasm, an embolism, or a iatrogenic interruption of the ARMM.

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalMedical and Pediatric Oncology
Volume32
Issue number5
DOIs
Publication statusPublished - May 1999

Keywords

  • Childhood cancer
  • Spinal cord ischemia
  • Surgery
  • Thoracic neuroblastoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Cancer Research

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