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Anterior spinal artery syndrome: a rare complication of head and neck surgery

Published online by Cambridge University Press:  02 March 2010

C Gadepalli ,
A Cardozo  and
S Loughran
C Gadepalli*
Affiliation:
Department of ENT, Manchester Royal Infirmary, UK
A Cardozo
Affiliation:
Department of ENT, Manchester Royal Infirmary, UK
S Loughran
Affiliation:
Department of ENT, Manchester Royal Infirmary, UK
*
Address for correspondence: C Gadepalli, 10 Bispham Road, Great Sankey, Warrington WA5 2SU, UK. E-mail: [email protected]
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Abstract

Objective:

We report a case of anterior spinal artery syndrome, an extremely rare complication, following head and neck surgery.

Method:

A case report and literature review concerning anterior spinal artery syndrome is presented.

Results:

A 64-year-old man developed an anterior spinal artery infarction following total laryngectomy and bilateral neck dissections for post-radiotherapy glottic carcinoma. Anterior spinal artery infarction is a rare syndrome. It typically presents with weakness, loss of pain and temperature sensation below the level of the injury, with relative sparing of position and vibratory sensation. Recovery is variable.

Conclusion:

To the best of our knowledge, this is the first case report in the English language literature of anterior spinal artery syndrome following a head and neck procedure. This case report highlights a rare complication, and also the susceptibility of head and neck surgery patients to different complications. In head and neck cancer patients suffering anterior spinal artery syndrome following primary surgical treatment, we recommend that the management of this complication should be as aggressive as that of the primary cancer.

Keywords

Anterior Spinal Artery SyndromeLaryngectomy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 936 - 938
Copyright
Copyright © JLO (1984) Limited 2010

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References

1 Raymond, D, Adams, MV, Ropper, AH. Principles of Neurology, 6th edn. 1997;1249–50Google Scholar
2 Pantet, O, Frischknecht, R, Croquelois, A. Sudden paraplegia due to an anterior spinal artery syndrome during the course of Staphylococcus aureus septicaemia. Cerebrovasc Dis 2007;24:307–9CrossRefGoogle Scholar
3 Geyer, TE, Naik, MJ, Pillai, R. Anterior spinal artery syndrome after elective coronary artery bypass grafting. Ann Thorac Surg 2002;73:1971–3CrossRefGoogle ScholarPubMed
4 Crystal, Z, Katz, Y. Postoperative epidural analgesia and possible transient anterior spinal artery syndrome. Reg Anesth Pain Med 2001;26:274–7CrossRefGoogle ScholarPubMed
5 Ramelli, GP, Wyttenbach, R, Von der Weid, N, Ozdoba, C. Anterior spinal artery syndrome in an adolescent with protein S deficiency. J Child Neurol 2001;16:134–5CrossRefGoogle Scholar
6 Alpagut, U, Dayioglu, E. Anterior spinal artery syndrome after infrarenal abdominal aortic surgery. J Cardiovasc Surg (Torino) 2002;43:865–8Google ScholarPubMed
7 Bozkurt, AK, Aydingöz, O, Yüceyar, L, Tanriverdi, S. Anterior spinal artery syndrome after peripheral angiography of the lower limbs. Spinal Cord 2003;41:473–4CrossRefGoogle ScholarPubMed
8 Zhao, S-H, Logan, L, Schraedley, P, Rubin, GD. Assessment of the anterior spinal artery and the artery of Adamkiewicz using multi-detector CT angiography. Chin Med J (Engl) 2009;122:145–9CrossRefGoogle ScholarPubMed
9 Yoshioka, K, Niinuma, H, Ohira, A, Nasu, K, Kawakami, T, Sasaki, M et al. MR angiography and CT angiography of the artery of Adamkiewicz : non invasive preoperative assessment of thoracoabdominal aortic aneurysm. Radiographics 2003;23:1215–25CrossRefGoogle Scholar
10 Zuber, WF, Gaspar, MR, Rothschild, PD. The anterior spinal artery syndrome – a complication of abdominal aortic surgery: report of five cases and review of the literature. Ann Surg 1970;172:909–15CrossRefGoogle ScholarPubMed
11 Wan, IY, Angelini, GD, Bryan, AJ, Ryder, I, Underwood, MJ. Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery. Eur J Cardiothorac Surg 2001;19:203–13CrossRefGoogle ScholarPubMed
12 Nedeltchev, K, Loher, TJ, Stepper, F, Arnold, M, Schroth, G, Mattle, HP et al. Long-term outcome of acute spinal cord ischemia syndrome. Stroke 2004;35:560–5CrossRefGoogle ScholarPubMed
13 Cheshire, WP, Santos, CC, Massey, EW, Howard, JF. Spinal cord infarction: etiology and outcome. Neurology 1996;47:321–30CrossRefGoogle ScholarPubMed
14 Iseli, E, Cavigelli, A, Dietz, V, Curt, A. Prognosis and recovery in ischemic and traumatic spinal cord injury: clinical and electrophysiological evaluation. J Neurol Neurosurg Psychiatry 1999;67:567–71CrossRefGoogle ScholarPubMed
15 de Seze, J, Stojkovic, T, Breteau, G, Lucas, C, Michon-Pasturel, U, Gauvrit, JY et al. Acute myelopathies: clinical, laboratory and outcome profiles in 79 cases. Brain 2001;124:1509–21CrossRefGoogle ScholarPubMed
16 Salvador de la Barrera, S, Barca-Buyo, A, Montoto-Marques, A, Ferreiro-Velasco, ME, Cidoncha-Dans, M, Rodriguez-Sotillo, A. Spinal cord infarction: prognosis and recovery in a series of 36 patients. Spinal Cord 2001;39:520–5CrossRefGoogle Scholar