Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jul-Aug;73(4):503-505.
doi: 10.1016/j.bjane.2021.06.011. Epub 2021 Jul 3.

Spinal cord ischemia as intraoperatory complication in shoulder surgery positioned in beach chair: case report

Mercedes Power Esteban  1 , Maria Lema Tom  2 , Rafael Ramos Fernandez  2 , Beatriz Garc Ía Bunger  2 , Patricia Pi Eiro Otero  2 , Adoraci N Elvira Rodr Íguez  2
Affiliations
Case Reports

Spinal cord ischemia as intraoperatory complication in shoulder surgery positioned in beach chair: case report

Mercedes Power Esteban et al. Braz J Anesthesiol. 2023 Jul-Aug.

Abstract

Spinal cord infarction is an uncommon phenomenon, which can be caused by different etiologies, constituting a real diagnostic challenge which can lead to devastating consequences. General anesthesia in beach chair positioning with intraoperative hypotension in order to avoid surgical bleeding are associated with hypoperfusion and potential neurological ischemia-related complications. We present a case of spinal cord ischemia in the context of shoulder surgery in a beach chair position.

Keywords: Postoperative complication; Shoulder; Sitting position; Spinal cord ischemia.

PubMed Disclaimer

Figures

Figure 1
Figure 1
T2-weighted thoracolumbar spine MRI sagittal section showing hyperintense image in the lower segments of the dorsal medulla compatible with ischemic vascular process.
Figure 2
Figure 2
T2-weighted dorsal spine MRI axial section demonstrating signal alteration in the anterior horns of the medullary gray matter, which produces an ..úowl eyes..Ñ image. Finding compatible with acute spinal cord ischemic injury.
See this image and copyright information in PMC

References

    1. Bollini C. Anestesia para la Cirug.ía de Hombro en Posici..n Sentada. Arthroscopy. 2015;22:63–70.
    1. Rubin M.N., Rabinstein A.A. Vascular diseases of the spinal cord. Neurol Clin. 2013;31:153–181. - PubMed
    1. Marshall W., Bedford R., Miller E. Cardiovascular responses in the seated position-impact of four anesthetic techniques. Anesth Analg. 1983;62:648–653. - PubMed
    1. Cullen D., Kirby R. Beach chair position may decrease cerebral perfusion: Catastrophic outcomes have occurred. APSF Newslett. 2007;22:25–27.
    1. Ugarte A.M.E., Bollini C. Cirugi..a de hombro en posicio..n en silla de playa: prevencio..n de complicaciones isque..micas. Rev Chil Ortop Traumatol. 2016;57:26–33.

Publication types

MeSH terms

LinkOut - more resources