Tetraplegia following parathyroidectomy in two long-term haemodialysis patients

Marco Mercieri, S. Paolini, A. Mercieri, R. A. De Blasi, S. Palmisani, G. Pinto, R. Arcioni

Research output: Contribution to journalArticle

Abstract

We report two cases of postoperative iatrogenic tetraparesis, which occurred in different hospitals after surgery for parathyroidectomy. Both patients were on long-term haemodialysis. The prolonged neck extension usually required by this procedure was probably the main factor involved in the genesis of the spinal cord injury. Spinal abnormalities associated with chronic renal failure may have made these patients more vulnerable. In our opinion, it is advisable to investigate thoroughly any sign of spinal stenosis in patients who undergo any procedure requiring significant neck extension, particularly if on long-term haemodialysis.

Original languageEnglish
Pages (from-to)1010-1013
Number of pages4
JournalAnaesthesia
Volume64
Issue number9
DOIs
Publication statusPublished - Sep 2009

Fingerprint

Parathyroidectomy
Quadriplegia
Renal Dialysis
Neck
Spinal Stenosis
Spinal Cord Injuries
Chronic Kidney Failure

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Mercieri, M., Paolini, S., Mercieri, A., De Blasi, R. A., Palmisani, S., Pinto, G., & Arcioni, R. (2009). Tetraplegia following parathyroidectomy in two long-term haemodialysis patients. Anaesthesia, 64(9), 1010-1013. https://doi.org/10.1111/j.1365-2044.2009.05944.x

Tetraplegia following parathyroidectomy in two long-term haemodialysis patients. / Mercieri, Marco; Paolini, S.; Mercieri, A.; De Blasi, R. A.; Palmisani, S.; Pinto, G.; Arcioni, R.

In: Anaesthesia, Vol. 64, No. 9, 09.2009, p. 1010-1013.

Research output: Contribution to journalArticle

Mercieri, M, Paolini, S, Mercieri, A, De Blasi, RA, Palmisani, S, Pinto, G & Arcioni, R 2009, 'Tetraplegia following parathyroidectomy in two long-term haemodialysis patients', Anaesthesia, vol. 64, no. 9, pp. 1010-1013. https://doi.org/10.1111/j.1365-2044.2009.05944.x
Mercieri, Marco ; Paolini, S. ; Mercieri, A. ; De Blasi, R. A. ; Palmisani, S. ; Pinto, G. ; Arcioni, R. / Tetraplegia following parathyroidectomy in two long-term haemodialysis patients. In: Anaesthesia. 2009 ; Vol. 64, No. 9. pp. 1010-1013.
@article{8192e84db0fe4d0f82371ca42c757098,
title = "Tetraplegia following parathyroidectomy in two long-term haemodialysis patients",
abstract = "We report two cases of postoperative iatrogenic tetraparesis, which occurred in different hospitals after surgery for parathyroidectomy. Both patients were on long-term haemodialysis. The prolonged neck extension usually required by this procedure was probably the main factor involved in the genesis of the spinal cord injury. Spinal abnormalities associated with chronic renal failure may have made these patients more vulnerable. In our opinion, it is advisable to investigate thoroughly any sign of spinal stenosis in patients who undergo any procedure requiring significant neck extension, particularly if on long-term haemodialysis.",
author = "Marco Mercieri and S. Paolini and A. Mercieri and {De Blasi}, {R. A.} and S. Palmisani and G. Pinto and R. Arcioni",
year = "2009",
month = "9",
doi = "10.1111/j.1365-2044.2009.05944.x",
language = "English",
volume = "64",
pages = "1010--1013",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Tetraplegia following parathyroidectomy in two long-term haemodialysis patients

AU - Mercieri, Marco

AU - Paolini, S.

AU - Mercieri, A.

AU - De Blasi, R. A.

AU - Palmisani, S.

AU - Pinto, G.

AU - Arcioni, R.

PY - 2009/9

Y1 - 2009/9

N2 - We report two cases of postoperative iatrogenic tetraparesis, which occurred in different hospitals after surgery for parathyroidectomy. Both patients were on long-term haemodialysis. The prolonged neck extension usually required by this procedure was probably the main factor involved in the genesis of the spinal cord injury. Spinal abnormalities associated with chronic renal failure may have made these patients more vulnerable. In our opinion, it is advisable to investigate thoroughly any sign of spinal stenosis in patients who undergo any procedure requiring significant neck extension, particularly if on long-term haemodialysis.

AB - We report two cases of postoperative iatrogenic tetraparesis, which occurred in different hospitals after surgery for parathyroidectomy. Both patients were on long-term haemodialysis. The prolonged neck extension usually required by this procedure was probably the main factor involved in the genesis of the spinal cord injury. Spinal abnormalities associated with chronic renal failure may have made these patients more vulnerable. In our opinion, it is advisable to investigate thoroughly any sign of spinal stenosis in patients who undergo any procedure requiring significant neck extension, particularly if on long-term haemodialysis.

UR - http://www.scopus.com/inward/record.url?scp=68149156025&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68149156025&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2044.2009.05944.x

DO - 10.1111/j.1365-2044.2009.05944.x

M3 - Article

C2 - 19686487

AN - SCOPUS:68149156025

VL - 64

SP - 1010

EP - 1013

JO - Anaesthesia

JF - Anaesthesia

SN - 0003-2409

IS - 9

ER -