Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion
Summary During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity s...
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| Veröffentlicht in: | Anaesthesia reports 2020-01, Vol.8 (1), p.63-n/a |
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| container_title | Anaesthesia reports |
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| creator | Schwan, C. P. Pedersen, M. R. Tavanaiepour, K. Tavanaiepour, D. Hoefnagel, A. L. Mongan, P. D. |
| description | Summary
During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm. |
| doi_str_mv | 10.1002/anr3.12049 |
| format | Article |
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During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm.</description><identifier>ISSN: 2637-3726</identifier><identifier>EISSN: 2637-3726</identifier><identifier>DOI: 10.1002/anr3.12049</identifier><identifier>PMID: 33163964</identifier><language>eng</language><publisher>Hoboken: John Wiley and Sons Inc</publisher><subject>bradycardia ; Case Report ; Case Reports ; lumbar nerve roots: innervation ; spinal cord: anatomy ; SSEP: physiological effects</subject><ispartof>Anaesthesia reports, 2020-01, Vol.8 (1), p.63-n/a</ispartof><rights>2020 Association of Anaesthetists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2949-a8d195c43ebcf9044b01e77c1f57f42da4d3a81c3d2058193dbb3762ae9319b03</citedby><cites>FETCH-LOGICAL-c2949-a8d195c43ebcf9044b01e77c1f57f42da4d3a81c3d2058193dbb3762ae9319b03</cites><orcidid>0000-0001-5462-9697</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605407/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7605407/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,27924,27925,45574,45575,53791,53793</link.rule.ids></links><search><creatorcontrib>Schwan, C. P.</creatorcontrib><creatorcontrib>Pedersen, M. R.</creatorcontrib><creatorcontrib>Tavanaiepour, K.</creatorcontrib><creatorcontrib>Tavanaiepour, D.</creatorcontrib><creatorcontrib>Hoefnagel, A. L.</creatorcontrib><creatorcontrib>Mongan, P. D.</creatorcontrib><title>Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion</title><title>Anaesthesia reports</title><description>Summary
During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm.</description><subject>bradycardia</subject><subject>Case Report</subject><subject>Case Reports</subject><subject>lumbar nerve roots: innervation</subject><subject>spinal cord: anatomy</subject><subject>SSEP: physiological effects</subject><issn>2637-3726</issn><issn>2637-3726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLAzEUhYMottRu_AVZC615zaTZCKX4gqIgug55TRudSUpmpmX-vVNHRDeu7oXzncO9B4BLjOYYIXKtQqJzTBATJ2BMcspnlJP89Nc-AtO6fkc9jJnIBD8HI0pxTkXOxsAuTds4mJxpU3KhgTop2xmVrFfw4JstdPv44SzcxaaXvSphGesa2jb5sIFNUqEuYlKVD0eprbRK0IfGJR1tB4u29jFcgLNClbWbfs8JeLu7fV09zNbP94-r5XpmiGBiphYWi8ww6rQpBGJMI-w4N7jIeMGIVcxStcCGWoKyBRbUak15TpQTFAuN6ATcDLm7VlfOmv7gpEq5S75SqZNReflXCX4rN3EveY4yhngfcDUEmNQ_mVzx48VIHuuWx7rlV909jAf44EvX_UPK5dMLHTyfio6D5g</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Schwan, C. P.</creator><creator>Pedersen, M. R.</creator><creator>Tavanaiepour, K.</creator><creator>Tavanaiepour, D.</creator><creator>Hoefnagel, A. L.</creator><creator>Mongan, P. D.</creator><general>John Wiley and Sons Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5462-9697</orcidid></search><sort><creationdate>202001</creationdate><title>Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion</title><author>Schwan, C. P. ; Pedersen, M. R. ; Tavanaiepour, K. ; Tavanaiepour, D. ; Hoefnagel, A. L. ; Mongan, P. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2949-a8d195c43ebcf9044b01e77c1f57f42da4d3a81c3d2058193dbb3762ae9319b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>bradycardia</topic><topic>Case Report</topic><topic>Case Reports</topic><topic>lumbar nerve roots: innervation</topic><topic>spinal cord: anatomy</topic><topic>SSEP: physiological effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwan, C. P.</creatorcontrib><creatorcontrib>Pedersen, M. R.</creatorcontrib><creatorcontrib>Tavanaiepour, K.</creatorcontrib><creatorcontrib>Tavanaiepour, D.</creatorcontrib><creatorcontrib>Hoefnagel, A. L.</creatorcontrib><creatorcontrib>Mongan, P. D.</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Anaesthesia reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwan, C. P.</au><au>Pedersen, M. R.</au><au>Tavanaiepour, K.</au><au>Tavanaiepour, D.</au><au>Hoefnagel, A. L.</au><au>Mongan, P. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion</atitle><jtitle>Anaesthesia reports</jtitle><date>2020-01</date><risdate>2020</risdate><volume>8</volume><issue>1</issue><spage>63</spage><epage>n/a</epage><pages>63-n/a</pages><issn>2637-3726</issn><eissn>2637-3726</eissn><abstract>Summary
During a transforaminal lumbar interbody fusion a patient experienced acute intermittent bradycardia with manipulation of the intervertebral body space, followed by loss of somatosensory evoked potentials that did not recover. Postoperative evaluation revealed new bilateral lower extremity sensory and motor deficits. We postulate an afferent reflex arc to explain this and other reported instances of bradycardia and asystole during transforaminal lumbar interbody fusion surgery. Awareness of the association between bradycardia during lumbar spine surgery may alert anaesthetists, surgeons and neuromonitoring teams to impending neurological harm.</abstract><cop>Hoboken</cop><pub>John Wiley and Sons Inc</pub><pmid>33163964</pmid><doi>10.1002/anr3.12049</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-5462-9697</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | bradycardia Case Report Case Reports lumbar nerve roots: innervation spinal cord: anatomy SSEP: physiological effects |
| title | Acute recurrent bradycardia with evoked potential loss during transforaminal lumbar interbody fusion |
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